| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $50.12 | $61.66 | |
Ambetter
| Professional | $54.95 | $54.95 | $54.95 | |
BCBS
| Facility | $64.57 | $64.57 | $64.57 | |
BCBS
| Professional | $64.57 | $64.57 | $69.18 | |
Cigna
| Professional | $29.51 | $29.51 | $95.50 | |
Health Alliance Plan
| Professional | $38.90 | $52.48 | $64.57 | |
Priority Health
| Professional | $29.51 | $29.51 | $79.43 | |
United
| Professional | $23.99 | $30.20 | $46.77 |