| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $79.43 | $109.65 | |
Ambetter
| Professional | $104.71 | $104.71 | $104.71 | |
BCBS
| Professional | $97.72 | $97.72 | $128.82 | |
Cigna
| Professional | $34.67 | $87.10 | $177.83 | |
Qualchoice
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Professional | $69.18 | $95.50 | $169.82 |