| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.59 | $94.41 | $128.34 | |
Aetna
| Professional | 25 | $90.99 | $94.41 | $96.86 |
Ambetter
| Professional | $101.10 | $101.10 | $110.76 | |
Ambetter
| Professional | 25 | $83.26 | $112.72 | $149.53 |
BCBS
| Professional | $60.80 | $98.58 | $108.44 | |
Cigna
| Professional | $55.00 | $80.65 | $149.11 | |
United
| Professional | $89.68 | $107.79 | $134.53 |