| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.39 | $66.39 | $105.80 | |
Aetna
| Professional | $54.29 | $75.72 | $105.80 | |
Ambetter
| Professional | $88.85 | $88.85 | $88.85 | |
BCBS
| Facility | $91.80 | $91.80 | $91.80 | |
BCBS
| Professional | $91.80 | $91.80 | $91.80 | |
Cigna
| Facility | $68.22 | $68.22 | $73.06 | |
Cigna
| Professional | $49.80 | $49.80 | $73.06 | |
United
| Professional | $33.50 | $55.78 | $88.22 |