| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $56.23 | $87.10 | |
Ambetter
| Professional | $69.18 | $69.18 | $104.71 | |
BCBS
| Professional | $63.10 | $75.86 | $100.00 | |
Cigna
| Professional | $63.10 | $102.33 | $165.96 | |
United
| Professional | $58.88 | $83.18 | $154.88 |