| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $67.61 | $123.03 | |
Ambetter
| Professional | $63.10 | $63.10 | $63.10 | |
BCBS
| Professional | $79.43 | $79.43 | $147.91 | |
Cigna
| Professional | $47.86 | $81.28 | $173.78 | |
Medica
| Professional | $89.13 | $117.49 | $891.25 | |
United
| Professional | $46.77 | $93.33 | $134.90 |