| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.87 | $143.69 | $252.23 | |
Ambetter
| Professional | $111.10 | $111.10 | $111.10 | |
BCBS
| Professional | $101.30 | $114.00 | $153.13 | |
Cigna
| Professional | $98.39 | $143.68 | $260.58 | |
Medica
| Professional | $117.25 | $172.35 | $1,082.32 | |
United
| Professional | $112.50 | $141.71 | $276.24 |