| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $21.88 | $21.88 | |
Ambetter
| Professional | $12.59 | $14.79 | $70.79 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
Cigna
| Facility | $72.44 | $72.44 | $120.23 | |
Cigna
| Professional | $20.89 | $72.44 | $190.55 |