| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $141.25 | |
Aetna
| Professional | $117.49 | $162.18 | $398.11 | |
Ambetter
| Professional | $131.83 | $147.91 | $181.97 | |
BCBS
| Professional | $109.65 | $158.49 | $199.53 | |
Cigna
| Professional | $131.83 | $186.21 | $323.59 | |
United
| Professional | $123.03 | $154.88 | $239.88 |