| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.31 | $85.31 | $133.30 | |
Aetna
| Professional | $80.08 | $124.04 | $133.30 | |
Ambetter
| Professional | $105.11 | $105.11 | $105.11 | |
BCBS
| Facility | $117.97 | $117.97 | $117.97 | |
BCBS
| Professional | $117.97 | $117.97 | $117.97 | |
Cigna
| Facility | $98.15 | $98.15 | $98.15 | |
Cigna
| Professional | $71.65 | $71.65 | $98.15 | |
United
| Professional | $44.99 | $75.95 | $120.13 |