| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.62 | $34.46 | $73.64 | |
Aetna
| Professional | $20.29 | $24.66 | $34.79 | |
Ambetter
| Professional | $31.00 | $31.00 | $31.00 | |
BCBS
| Facility | $29.90 | $29.90 | $29.90 | |
BCBS
| Professional | $29.90 | $29.90 | $29.90 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $18.10 | $24.80 | |
United
| Professional | $11.40 | $18.32 | $30.48 |