| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $42.00 | |
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
Ambetter
| Professional | $40.07 | $53.42 | $53.42 | |
BCBS
| Professional | $42.50 | $42.50 | $42.50 | |
Cigna
| Facility | $46.76 | $46.76 | $46.76 | |
Cigna
| Professional | $39.75 | $39.75 | $48.16 | |
United
| Professional | $20.74 | $31.12 | $44.08 |