| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.51 | $30.51 | $30.51 | |
Aetna
| Professional | $23.94 | $30.51 | $53.97 | |
Ambetter
| Professional | $40.07 | $40.07 | $40.07 | |
BCBS
| Professional | $32.00 | $40.35 | $65.34 | |
Cigna
| Facility | $18.00 | $34.22 | $37.79 | |
Cigna
| Professional | $24.98 | $34.22 | $37.07 | |
Medcost
| Facility | $23.15 | $41.19 | $96.81 | |
Medcost
| Professional | $36.00 | $36.00 | $36.00 | |
United
| Professional | $20.50 | $29.38 | $37.07 |