| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $87.10 | |
Aetna
| Professional | $77.62 | $104.71 | $363.08 | |
Ambetter
| Professional | $95.50 | $112.20 | $158.49 | |
BCBS
| Professional | $77.62 | $117.49 | $147.91 | |
Cigna
| Professional | $79.43 | $117.49 | $208.93 | |
United
| Professional | $72.44 | $95.50 | $144.54 |