| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $43.65 | |
Aetna
| Professional | $23.99 | $33.11 | $63.10 | |
Ambetter
| Professional | $30.90 | $33.11 | $48.98 | |
Anthem BCBS
| Professional | $34.67 | $46.77 | $53.70 | |
Cigna
| Professional | $30.90 | $30.90 | $37.15 | |
United
| Professional | $19.95 | $29.51 | $61.66 |