| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.76 | $92.76 | $92.76 |
Aetna
| Professional | $174.63 | $286.11 | $384.78 | |
Ambetter
| Professional | $160.24 | $160.24 | $160.24 | |
BCBS
| Professional | $83.81 | $126.29 | $270.95 | |
Cigna
| Professional | $169.75 | $295.63 | $505.17 | |
United
| Professional | $191.75 | $271.91 | $1,049.97 |