| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.33 | $37.33 | $37.33 | |
Aetna
| Professional | $37.33 | $45.86 | $105.84 | |
Ambetter
| Professional | $40.71 | $40.71 | $42.13 | |
BCBS
| Professional | $42.13 | $42.13 | $42.13 | |
Cigna
| Professional | $14.86 | $14.86 | $60.94 | |
Medcost
| Facility | $37.33 | $39.29 | $50.56 |