| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.19 | $65.38 | $89.17 | |
Aetna
| Professional | 25 | $64.63 | $68.34 | $77.09 |
Ambetter
| Professional | $59.90 | $77.81 | $79.27 | |
Ambetter
| Professional | 25 | $100.67 | $100.67 | $105.06 |
BCBS
| Professional | $40.24 | $69.26 | $76.19 | |
Cigna
| Professional | $39.42 | $60.81 | $104.90 | |
United
| Professional | $53.00 | $72.27 | $89.86 |