| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $97.72 | |
Aetna
| Professional | $66.07 | $83.18 | $120.23 | |
Ambetter
| Professional | $83.18 | $83.18 | $83.18 | |
BCBS
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Professional | $34.67 | $69.18 | $128.82 | |
United
| Professional | $69.18 | $89.13 | $134.90 |