| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $97.72 | |
Aetna
| Professional | $54.95 | $75.86 | $194.98 | |
Ambetter
| Professional | $63.10 | $75.86 | $102.33 | |
BCBS
| Professional | $53.70 | $79.43 | $97.72 | |
Cigna
| Professional | $54.95 | $81.28 | $144.54 | |
United
| Professional | $50.12 | $64.57 | $100.00 |