| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.63 | $150.87 | $228.57 | |
Ambetter
| Professional | $134.59 | $164.65 | $228.68 | |
BCBS
| Professional | $103.33 | $140.91 | $180.66 | |
Cigna
| Professional | $70.00 | $146.97 | $294.19 | |
United
| Professional | $110.00 | $152.91 | $206.38 |