| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $147.91 | $251.19 | |
Ambetter
| Professional | $100.00 | $100.00 | $117.49 | |
BCBS
| Professional | $102.33 | $120.23 | $147.91 | |
Cigna
| Professional | $117.49 | $147.91 | $223.87 | |
United
| Professional | $100.00 | $128.82 | $194.98 |