| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.26 | $57.27 | $86.54 | |
Ambetter
| Professional | $42.25 | $42.25 | $42.25 | |
BCBS
| Facility | $82.67 | $82.67 | $82.67 | |
BCBS
| Professional | $82.67 | $82.67 | $82.67 | |
Cigna
| Facility | $57.45 | $57.45 | $98.99 | |
Cigna
| Professional | $48.83 | $57.45 | $107.15 | |
United
| Professional | $28.88 | $57.65 | $114.24 |