| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $147.91 | $165.96 | |
Aetna
| Professional | $117.49 | $147.91 | $177.83 | |
Ambetter
| Professional | $56.23 | $138.04 | $229.09 | |
BCBS
| Facility | $123.03 | $123.03 | $125.89 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
United
| Professional | $147.91 | $165.96 | $186.21 |