| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.53 | $140.47 | $170.04 | |
Aetna
| Professional | $125.00 | $144.53 | $180.95 | |
Ambetter
| Professional | $151.03 | $151.03 | $151.03 | |
BCBS
| Professional | $109.50 | $156.97 | $207.22 | |
Cigna
| Professional | $130.12 | $187.53 | $321.99 | |
United
| Professional | $121.01 | $155.58 | $216.17 |