| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $131.83 | $199.53 | |
Ambetter
| Professional | $100.00 | $117.49 | $151.36 | |
Anthem BCBS
| Professional | $85.11 | $114.82 | $177.83 | |
Cigna
| Professional | $117.49 | $147.91 | $251.19 | |
United
| Professional | $102.33 | $128.82 | $199.53 |