| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.48 | $52.48 | $52.48 |
Aetna
| Professional | 26 | $52.48 | $125.89 | $371.54 |
Ambetter
| Professional | 26 | $81.28 | $81.28 | $81.28 |
BCBS
| Professional | 26 | $66.07 | $95.50 | $112.20 |
Cigna
| Professional | 26 | $87.10 | $128.82 | $288.40 |
United
| Professional | 26 | $66.07 | $85.11 | $125.89 |