| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.47 | $82.47 | $131.44 | |
Aetna
| Professional | $77.41 | $94.07 | $131.44 | |
Ambetter
| Professional | $117.73 | $117.73 | $117.73 | |
BCBS
| Facility | $114.04 | $114.04 | $114.04 | |
BCBS
| Professional | $114.04 | $114.04 | $114.04 | |
Cigna
| Facility | $81.70 | $81.70 | $81.70 | |
Cigna
| Professional | $59.64 | $59.64 | $81.70 | |
United
| Professional | $43.49 | $69.86 | $109.60 |