| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.70 | $53.30 | $102.19 | |
Aetna
| Professional | $36.50 | $63.49 | $102.19 | |
Ambetter
| Professional | $84.98 | $84.98 | $113.31 | |
BCBS
| Professional | $75.68 | $75.68 | $75.68 | |
Cigna
| Facility | $70.80 | $70.80 | $113.31 | |
Cigna
| Professional | $51.68 | $51.68 | $131.25 | |
United
| Professional | $37.68 | $56.53 | $85.15 |