| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $81.28 | $109.65 | |
Ambetter
| Professional | $66.07 | $67.61 | $100.00 | |
BCBS
| Professional | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $54.95 | $75.86 | $169.82 | |
Medica
| Professional | $75.86 | $107.15 | $707.95 | |
United
| Professional | $67.61 | $102.33 | $138.04 |