| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $64.57 | $194.98 | |
Aetna
| Professional | $25.70 | $28.18 | $64.57 | |
Ambetter
| Professional | $20.89 | $20.89 | $20.89 | |
BCBS
| Facility | $40.74 | $40.74 | $40.74 | |
BCBS
| Professional | $40.74 | $40.74 | $40.74 | |
Cigna
| Facility | $22.91 | $23.99 | $36.31 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
United
| Facility | $31.62 | $31.62 | $47.86 | |
United
| Professional | $14.79 | $23.99 | $107.15 |