| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Ambetter
| Professional | $28.53 | $28.53 | $28.53 | |
BCBS
| Professional | $21.00 | $21.00 | $21.00 | |
Cigna
| Facility | $17.27 | $17.27 | $17.27 | |
Cigna
| Professional | $14.68 | $14.68 | $28.30 | |
United
| Professional | $14.77 | $22.16 | $31.39 |