| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.04 | $168.41 | $202.72 | |
Aetna
| Professional | $149.15 | $172.31 | $212.84 | |
Ambetter
| Professional | $157.49 | $179.41 | $229.80 | |
BCBS
| Professional | $106.27 | $186.63 | $225.21 | |
Cigna
| Professional | $142.04 | $227.30 | $380.54 | |
United
| Professional | $144.25 | $175.16 | $257.72 |