| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.71 | $122.71 | $142.94 | |
Aetna
| Professional | $108.12 | $151.38 | $175.07 | |
Ambetter
| Professional | $162.59 | $162.59 | $162.59 | |
BCBS
| Professional | $143.02 | $220.03 | $259.64 | |
Cigna
| Professional | $62.08 | $87.66 | $216.60 | |
United
| Professional | $101.86 | $145.02 | $198.00 |