| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $48.98 | $63.10 | |
Ambetter
| Professional | $72.44 | $79.43 | $95.50 | |
BCBS
| Facility | $72.44 | $72.44 | $72.44 | |
BCBS
| Professional | $72.44 | $72.44 | $72.44 | |
Cigna
| Facility | $43.65 | $43.65 | $74.13 | |
Cigna
| Professional | $37.15 | $43.65 | $104.71 | |
United
| Facility | $4.47 | $34.67 | $66.07 | |
United
| Professional | $24.55 | $57.54 | $104.71 |