| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.92 | $50.53 | $80.73 | |
Ambetter
| Professional | $87.52 | $87.52 | $87.52 | |
BCBS
| Professional | $95.64 | $95.64 | $95.64 | |
Cigna
| Facility | $57.45 | $57.45 | $76.92 | |
Cigna
| Professional | $57.45 | $57.45 | $107.15 | |
United
| Professional | $28.88 | $50.89 | $111.10 |