| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $138.04 | $154.88 | |
Aetna
| Professional | $125.89 | $125.89 | $125.89 | |
Ambetter
| Professional | $85.11 | $85.11 | $85.11 | |
BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
BCBS
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Facility | $138.04 | $138.04 | $151.36 | |
United
| Professional | $141.25 | $147.91 | $165.96 |