| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $63.10 | $79.43 | |
Ambetter
| Professional | $89.13 | $89.13 | $91.20 | |
BCBS
| Facility | $91.20 | $91.20 | $91.20 | |
BCBS
| Professional | $91.20 | $91.20 | $91.20 | |
Cigna
| Facility | $60.26 | $60.26 | $83.18 | |
Cigna
| Professional | $51.29 | $60.26 | $72.44 | |
United
| Facility | $5.50 | $42.66 | $70.79 | |
United
| Professional | $31.62 | $60.26 | $123.03 |