| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.93 | $106.93 | $106.93 | |
Aetna
| Professional | $50.62 | $66.44 | $106.93 | |
Ambetter
| Professional | $118.56 | $118.56 | $118.56 | |
BCBS
| Professional | $77.09 | $77.09 | $77.09 | |
Cigna
| Facility | $65.81 | $65.81 | $383.66 | |
Cigna
| Professional | $48.04 | $65.81 | $103.23 | |
United
| Facility | $119.37 | $119.37 | $140.44 | |
United
| Professional | $35.03 | $52.55 | $81.43 |