| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.80 | $49.80 | $49.80 | |
Aetna
| Professional | $29.10 | $42.90 | $49.80 | |
Ambetter
| Professional | $38.36 | $38.36 | $38.36 | |
BCBS
| Professional | $28.69 | $43.23 | $57.43 | |
Cigna
| Professional | $36.31 | $36.31 | $36.31 | |
United
| Professional | $28.98 | $38.01 | $50.63 |