| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.67 | $50.31 | $57.18 | |
Aetna
| Professional | $25.61 | $51.23 | $78.18 | |
Ambetter
| Professional | $77.48 | $77.48 | $77.48 | |
BCBS
| Professional | $65.41 | $86.57 | $96.19 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Qualchoice
| Professional | $89.10 | $89.10 | $89.10 | |
United
| Professional | $53.61 | $71.94 | $133.57 |