| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.55 | $24.81 | $43.28 | |
Aetna
| Professional | 25 | $63.31 | $63.31 | $63.31 |
Ambetter
| Professional | $39.04 | $40.99 | $43.97 | |
BCBS
| Facility | $21.49 | $24.98 | $27.14 | |
Cigna
| Professional | $39.88 | $39.88 | $39.88 | |
United
| Professional | $30.57 | $38.10 | $55.12 |