| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $31.62 | $44.67 |
Aetna
| Professional | $97.72 | $123.03 | $190.55 | |
Ambetter
| Professional | $75.86 | $75.86 | $75.86 | |
Anthem BCBS
| Professional | $87.10 | $95.50 | $162.18 | |
Cigna
| Professional | $93.33 | $141.25 | $263.03 | |
United
| Professional | $93.33 | $123.03 | $199.53 |