| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $169.82 | |
Aetna
| Professional | $131.83 | $177.83 | $380.19 | |
Ambetter
| Professional | $138.04 | $165.96 | $234.42 | |
BCBS
| Professional | $134.90 | $181.97 | $223.87 | |
Cigna
| Professional | $151.36 | $223.87 | $389.05 | |
United
| Professional | $134.90 | $173.78 | $275.42 |