| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $15.14 | |
Aetna
| Professional | $0.06 | $0.27 | $26.92 | |
Ambetter
| Professional | $0.07 | $7.08 | $10.96 | |
BCBS
| Facility | $0.04 | $0.04 | $0.04 | |
BCBS
| Professional | $0.47 | $0.47 | $0.47 | |
Cigna
| Facility | $0.07 | $0.07 | $0.54 | |
Cigna
| Professional | $0.07 | $0.07 | $0.54 | |
United
| Facility | $0.03 | $0.03 | $0.08 | |
United
| Professional | $0.03 | $0.07 | $0.12 |