| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.61 | $126.49 | $126.49 | |
Aetna
| Professional | $62.63 | $81.14 | $106.84 | |
Ambetter
| Professional | $70.89 | $81.13 | $81.27 | |
BCBS
| Professional | $61.09 | $83.30 | $99.85 | |
Cigna
| Professional | $63.00 | $91.00 | $100.00 | |
United
| Professional | $70.37 | $86.75 | $117.36 |