| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $89.13 | $309.03 | |
Aetna
| Professional | 52 | $57.54 | $57.54 | $57.54 |
Ambetter
| Professional | $61.66 | $72.44 | $100.00 | |
BCBS
| Professional | $67.61 | $100.00 | $128.82 | |
Cigna
| Professional | $67.61 | $97.72 | $151.36 | |
United
| Professional | $57.54 | $74.13 | $131.83 |