| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.86 | $81.86 | $130.47 | |
Aetna
| Professional | $66.94 | $92.99 | $131.75 | |
Ambetter
| Professional | $109.55 | $109.55 | $131.46 | |
BCBS
| Facility | $113.20 | $113.20 | $113.20 | |
BCBS
| Professional | $113.20 | $113.20 | $113.20 | |
Cigna
| Facility | $95.80 | $96.73 | $96.73 | |
Cigna
| Professional | $70.61 | $70.61 | $96.73 | |
United
| Professional | $48.58 | $71.36 | $115.39 |