| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.16 | $59.50 | $591.39 | |
Aetna
| Professional | $36.78 | $59.18 | $86.78 | |
Ambetter
| Professional | $74.02 | $74.02 | $101.92 | |
BCBS
| Facility | $87.40 | $87.40 | $87.40 | |
BCBS
| Professional | $87.40 | $87.40 | $87.40 | |
Cigna
| Facility | $67.14 | $67.14 | $76.52 | |
Cigna
| Professional | $49.01 | $49.01 | $76.52 | |
United
| Professional | $32.78 | $57.37 | $90.99 |