| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $25.70 | $25.70 | |
Ambetter
| Professional | $16.98 | $26.30 | $54.95 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
Cigna
| Facility | $93.33 | $93.33 | $144.54 | |
Cigna
| Professional | $93.33 | $125.89 | $158.49 |