| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $51.29 | $79.43 | |
Ambetter
| Professional | $46.77 | $53.70 | $89.13 | |
BCBS
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $39.81 | $56.23 | $93.33 | |
Qualchoice
| Professional | $102.33 | $102.33 | $102.33 | |
United
| Professional | $46.77 | $54.95 | $72.44 |