| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $137.44 |
Aetna
| Professional | 26 | $100.00 | $100.00 | $265.00 |
Ambetter
| Professional | 26 | $86.53 | $97.60 | $110.28 |
Anthem BCBS
| Professional | 26 | $69.76 | $87.21 | $123.83 |
Cigna
| Professional | 26 | $99.28 | $117.36 | $200.54 |
United
| Professional | 26 | $82.26 | $104.43 | $225.93 |