| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.98 | $275.42 | $501.19 | |
Ambetter
| Professional | $204.17 | $204.17 | $204.17 | |
BCBS
| Professional | $177.83 | $251.19 | $295.12 | |
Cigna
| Professional | $186.21 | $251.19 | $575.44 | |
United
| Professional | $173.78 | $251.19 | $446.68 |