| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.49 | $63.49 | $101.19 | |
Aetna
| Professional | $37.59 | $65.00 | $101.19 | |
Ambetter
| Professional | $84.98 | $84.98 | $84.98 | |
BCBS
| Facility | $87.80 | $87.80 | $87.80 | |
BCBS
| Professional | $87.80 | $87.80 | $87.80 | |
Cigna
| Facility | $70.80 | $70.80 | $74.27 | |
Cigna
| Professional | $51.68 | $51.68 | $106.26 | |
United
| Professional | $37.68 | $53.79 | $87.11 |