| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $131.83 | |
Aetna
| Professional | $66.07 | $79.43 | $131.83 | |
Ambetter
| Professional | $120.23 | $120.23 | $120.23 | |
BCBS
| Facility | $89.13 | $89.13 | $89.13 | |
BCBS
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Facility | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $61.66 | $61.66 | $83.18 | |
United
| Facility | $46.77 | $117.49 | $177.83 | |
United
| Professional | $43.65 | $70.79 | $109.65 |