| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.39 | $183.88 | $220.46 | |
Aetna
| Professional | $45.54 | $57.60 | $170.67 | |
Ambetter
| Professional | $86.31 | $86.31 | $86.31 | |
BCBS
| Professional | $30.00 | $38.96 | $100.70 | |
Cigna
| Facility | $5.58 | $59.92 | $66.16 | |
Cigna
| Professional | $43.74 | $67.34 | $73.63 | |
Medcost
| Facility | $30.89 | $51.07 | $149.41 | |
Medcost
| Professional | $24.00 | $24.00 | $26.00 | |
United
| Professional | $31.89 | $45.53 | $60.70 |