| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.58 | $30.04 | $161.38 | |
Aetna
| Professional | $14.53 | $30.04 | $46.22 | |
Ambetter
| Professional | $39.59 | $39.59 | $39.59 | |
BCBS
| Facility | $40.90 | $40.90 | $40.90 | |
BCBS
| Professional | $40.90 | $40.90 | $40.90 | |
Cigna
| Facility | $29.97 | $35.00 | $35.00 | |
Cigna
| Professional | $25.55 | $25.55 | $35.00 | |
United
| Professional | $14.58 | $25.79 | $39.29 |