| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $208.93 | $380.19 | |
Ambetter
| Professional | $107.15 | $107.15 | $107.15 | |
BCBS
| Professional | $128.82 | $194.98 | $316.23 | |
Cigna
| Professional | $120.23 | $223.87 | $457.09 | |
United
| Professional | $95.50 | $177.83 | $302.00 |