| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $41.69 | $64.57 | |
Ambetter
| Professional | $75.86 | $75.86 | $89.13 | |
BCBS
| Facility | $81.28 | $81.28 | $112.20 | |
BCBS
| Professional | $36.31 | $47.86 | $70.79 | |
Cigna
| Professional | $33.88 | $50.12 | $66.07 | |
Qualchoice
| Professional | $89.13 | $89.13 | $102.33 | |
United
| Facility | $208.93 | $208.93 | $208.93 | |
United
| Professional | $36.31 | $58.88 | $83.18 |