| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.54 | $64.57 | $114.82 |
Aetna
| Professional | $107.15 | $134.90 | $204.17 | |
Ambetter
| Professional | $87.10 | $87.10 | $102.33 | |
BCBS
| Professional | $141.25 | $169.82 | $218.78 | |
Cigna
| Professional | $89.13 | $134.90 | $263.03 | |
United
| Professional | $95.50 | $131.83 | $204.17 |