| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $169.82 | $501.19 | |
Ambetter
| Professional | $93.33 | $117.49 | $154.88 | |
BCBS
| Professional | $173.78 | $173.78 | $173.78 | |
Cigna
| Professional | $125.89 | $181.97 | $295.12 | |
Medica
| Professional | $134.90 | $186.21 | $912.01 | |
United
| Professional | $131.83 | $169.82 | $239.88 |