| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.97 | $21.96 | $28.36 | |
Ambetter
| Professional | $25.56 | $30.43 | $30.43 | |
BCBS
| Facility | $31.61 | $31.61 | $31.61 | |
BCBS
| Professional | $31.61 | $31.61 | $31.61 | |
Cigna
| Facility | $23.28 | $23.28 | $35.60 | |
Cigna
| Professional | $19.79 | $23.28 | $30.56 | |
United
| Professional | $11.51 | $18.07 | $34.79 |