| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $21.88 | $34.67 | $141.25 | |
Ambetter
| Professional | $30.90 | $33.11 | $43.65 | |
BCBS
| Professional | $52.48 | $52.48 | $69.18 | |
Cigna
| Professional | $23.99 | $30.90 | $30.90 | |
United
| Professional | $16.98 | $27.54 | $37.15 |