| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.75 | $197.68 | $197.68 | |
Aetna
| Professional | $96.33 | $120.70 | $155.85 | |
Ambetter
| Professional | $143.21 | $143.21 | $143.21 | |
BCBS
| Professional | $93.95 | $117.43 | $149.74 | |
Cigna
| Professional | $92.55 | $117.79 | $185.90 | |
United
| Professional | $102.48 | $127.12 | $180.01 |