| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.21 | $63.28 | $81.72 | |
Ambetter
| Professional | $89.16 | $89.16 | $89.16 | |
BCBS
| Facility | $92.63 | $92.63 | $92.63 | |
BCBS
| Professional | $92.63 | $92.63 | $92.63 | |
Cigna
| Facility | $65.95 | $65.95 | $102.56 | |
Cigna
| Professional | $56.07 | $65.95 | $87.12 | |
United
| Professional | $33.25 | $59.21 | $130.16 |