| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.03 | $55.03 | $55.03 |
Aetna
| Professional | 26 | $55.03 | $80.37 | $291.50 |
Ambetter
| Professional | 26 | $84.40 | $84.40 | $84.40 |
BCBS
| Professional | 26 | $59.26 | $84.65 | $93.12 |
Cigna
| Professional | 26 | $87.93 | $126.98 | $159.99 |
United
| Professional | 26 | $68.47 | $89.83 | $125.76 |