| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.72 | $88.72 | $141.40 | |
Aetna
| Professional | $84.46 | $101.20 | $141.40 | |
Ambetter
| Professional | $118.74 | $118.74 | $118.74 | |
BCBS
| Facility | $122.68 | $122.68 | $122.68 | |
BCBS
| Professional | $122.68 | $122.68 | $122.68 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $46.77 | $75.16 | $117.90 |