| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.93 | $58.93 | $58.93 | |
Aetna
| Professional | $57.53 | $58.93 | $63.29 | |
Ambetter
| Professional | $25.50 | $40.04 | $55.46 | |
BCBS
| Professional | $64.81 | $64.81 | $64.81 | |
Cigna
| Facility | $58.93 | $58.93 | $58.93 | |
Cigna
| Professional | $58.93 | $58.93 | $58.93 | |
United
| Professional | $57.78 | $57.78 | $57.78 |