| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.74 | $161.59 | $178.50 | |
Aetna
| Professional | $53.43 | $61.30 | $86.49 | |
Ambetter
| Professional | $134.26 | $134.26 | $134.26 | |
BCBS
| Facility | $74.31 | $74.31 | $74.31 | |
BCBS
| Professional | $74.31 | $74.31 | $74.31 | |
Cigna
| Facility | $59.92 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $43.74 | $89.94 | |
United
| Professional | $28.67 | $44.23 | $68.64 |