| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.19 | $82.19 | $130.99 | |
Aetna
| Professional | $66.62 | $83.47 | $130.99 | |
Ambetter
| Professional | $110.00 | $110.00 | $110.00 | |
BCBS
| Facility | $113.65 | $113.65 | $113.65 | |
BCBS
| Professional | $113.65 | $113.65 | $113.65 | |
Cigna
| Facility | $84.33 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $36.90 | $67.65 | $109.22 |