| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.44 | $87.10 | $93.33 |
Aetna
| Professional | $93.33 | $125.89 | $346.74 | |
Ambetter
| Professional | $77.62 | $87.10 | $117.49 | |
BCBS
| Professional | $117.49 | $134.90 | $173.78 | |
CareSource
| Professional | $51.29 | $58.88 | $125.89 | |
Cigna
| Professional | $95.50 | $151.36 | $229.09 | |
United
| Professional | $104.71 | $134.90 | $208.93 |