| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.86 | $51.86 | $82.65 | |
Aetna
| Professional | $42.41 | $59.42 | $83.46 | |
Ambetter
| Professional | $69.41 | $69.41 | $99.94 | |
BCBS
| Facility | $71.70 | $71.70 | $71.70 | |
BCBS
| Professional | $71.70 | $71.70 | $71.70 | |
Cigna
| Facility | $56.94 | $58.00 | $58.00 | |
Cigna
| Professional | $42.34 | $42.34 | $58.00 | |
United
| Professional | $29.91 | $43.05 | $69.14 |