| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $75.86 | |
Aetna
| Professional | $61.66 | $75.86 | $100.00 | |
Ambetter
| Professional | $63.10 | $74.13 | $81.28 | |
Ambetter
| Professional | 25 | $72.44 | $72.44 | $74.13 |
BCBS
| Professional | $60.26 | $87.10 | $87.10 | |
Cigna
| Professional | $57.54 | $100.00 | $218.78 | |
United
| Professional | $56.23 | $77.62 | $104.71 |