| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.11 | $108.49 | $140.82 |
Aetna
| Professional | $133.50 | $214.12 | $313.88 | |
Ambetter
| Professional | $278.24 | $278.24 | $278.24 | |
BCBS
| Professional | $170.79 | $257.47 | $362.95 | |
Cigna
| Professional | $112.14 | $183.25 | $339.08 | |
United
| Professional | $142.60 | $199.10 | $315.26 |