| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.17 | $175.33 | $256.77 | |
Ambetter
| Professional | $164.81 | $164.81 | $164.81 | |
BCBS
| Professional | $163.41 | $183.84 | $222.19 | |
Cigna
| Professional | $90.13 | $137.24 | $223.56 | |
United
| Professional | $88.50 | $128.65 | $210.93 |