| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $104.71 | $123.03 | |
Aetna
| Professional | $57.54 | $107.15 | $173.78 | |
Ambetter
| Professional | $66.07 | $67.61 | $70.79 | |
BCBS
| Professional | $66.07 | $91.20 | $107.15 | |
Cigna
| Professional | $63.10 | $87.10 | $147.91 | |
United
| Professional | $56.23 | $69.18 | $107.15 |