| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.75 | $59.75 | $59.75 | |
Aetna
| Professional | $28.29 | $59.75 | $59.75 | |
Ambetter
| Professional | $56.32 | $56.32 | $56.32 | |
BCBS
| Professional | $43.89 | $43.89 | $43.89 | |
Cigna
| Facility | $55.83 | $55.83 | $81.41 | |
Cigna
| Professional | $40.76 | $40.76 | $94.50 | |
United
| Professional | $22.04 | $33.04 | $49.79 |