| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $125.89 | $125.89 | |
Aetna
| Professional | $125.89 | $125.89 | $125.89 | |
Ambetter
| Professional | $85.11 | $85.11 | $85.11 | |
BCBS
| Facility | $141.25 | $141.25 | $141.25 | |
BCBS
| Professional | $141.25 | $141.25 | $144.54 | |
United
| Facility | $83.18 | $89.13 | $102.33 | |
United
| Professional | $138.04 | $147.91 | $177.83 |