| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $229.09 | $269.15 | |
Aetna
| Professional | $131.83 | $131.83 | $144.54 | |
Ambetter
| Professional | $83.18 | $134.90 | $154.88 | |
BCBS
| Facility | $57.54 | $57.54 | $70.79 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
United
| Facility | $125.89 | $141.25 | $141.25 | |
United
| Professional | $117.49 | $134.90 | $147.91 |