| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.46 | $52.46 | $52.46 |
Aetna
| Professional | 26 | $52.46 | $76.56 | $291.50 |
Ambetter
| Professional | 26 | $80.41 | $80.41 | $156.81 |
BCBS
| Professional | 26 | $66.20 | $94.57 | $104.03 |
Cigna
| Professional | 26 | $86.81 | $131.18 | $507.51 |
United
| Professional | 26 | $64.81 | $85.74 | $127.35 |