| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $25.12 | $33.11 | |
Ambetter
| Professional | $30.90 | $30.90 | $30.90 | |
BCBS
| Professional | $30.90 | $30.90 | $30.90 | |
Cigna
| Facility | $26.92 | $26.92 | $42.66 | |
Cigna
| Professional | $22.91 | $26.92 | $48.98 | |
United
| Facility | $1.78 | $13.49 | $30.20 | |
United
| Professional | $12.88 | $20.89 | $30.90 |