| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $815.40 | $1,400.00 | $1,680.00 |
Ambetter
| Professional | AA | $166.15 | $297.69 | $297.69 |
BCBS
| Professional | AA | $175.00 | $292.50 | $425.90 |
United
| Professional | AA | $80.00 | $85.00 | $85.00 |