| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.57 | $218.40 | $308.99 | |
Ambetter
| Professional | $138.66 | $138.66 | $138.66 | |
BCBS
| Professional | $230.58 | $288.23 | $288.23 | |
Cigna
| Professional | $209.51 | $305.20 | $508.67 | |
Medica
| Professional | $205.71 | $337.67 | $1,722.48 | |
United
| Professional | $203.55 | $297.92 | $427.55 |