| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.69 | $80.81 | $104.15 | |
Ambetter
| Professional | $103.17 | $103.17 | $103.17 | |
BCBS
| Professional | $84.52 | $111.87 | $128.21 | |
Cigna
| Professional | $35.00 | $80.34 | $152.52 | |
Qualchoice
| Professional | $118.65 | $120.03 | $120.03 | |
United
| Professional | $71.14 | $104.47 | $163.95 |