| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.07 | $112.20 | $446.68 | |
Ambetter
| Professional | $43.65 | $54.95 | $66.07 | |
Cigna
| Professional | $51.29 | $61.66 | $125.89 | |
Horizon BCBS
| Professional | $60.26 | $81.28 | $123.03 | |
United
| Professional | $58.88 | $72.44 | $158.49 |