| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $85.11 | $112.20 | |
Ambetter
| Professional | $120.23 | $120.23 | $120.23 | |
BCBS
| Facility | $123.03 | $123.03 | $123.03 | |
BCBS
| Professional | $123.03 | $123.03 | $123.03 | |
Cigna
| Facility | $91.20 | $91.20 | $117.49 | |
Cigna
| Professional | $77.62 | $91.20 | $107.15 | |
United
| Facility | $7.41 | $56.23 | $100.00 | |
United
| Professional | $45.71 | $77.62 | $158.49 |