| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.85 | $49.85 | $79.45 | |
Aetna
| Professional | $34.46 | $56.87 | $79.45 | |
Ambetter
| Professional | $91.26 | $91.26 | $91.26 | |
BCBS
| Facility | $81.16 | $81.16 | $81.16 | |
BCBS
| Professional | $81.16 | $81.16 | $81.16 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $49.06 | $77.70 | |
United
| Facility | $105.88 | $124.56 | $149.47 | |
United
| Professional | $34.54 | $51.28 | $80.45 |