| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.80 | $43.80 | $69.81 | |
Aetna
| Professional | $43.80 | $53.45 | $70.48 | |
Ambetter
| Professional | $61.89 | $61.89 | $61.89 | |
BCBS
| Facility | $73.12 | $73.12 | $73.12 | |
BCBS
| Professional | $73.12 | $73.12 | $73.12 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $83.72 | |
United
| Professional | $30.04 | $48.23 | $75.66 |