| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $128.82 | |
Aetna
| Professional | $95.50 | $117.49 | $234.42 | |
Ambetter
| Professional | $100.00 | $120.23 | $134.90 | |
Ambetter
| Professional | 25 | $114.82 | $117.49 | $131.83 |
BCBS
| Professional | $87.10 | $125.89 | $125.89 | |
Cigna
| Professional | $77.62 | $141.25 | $346.74 | |
United
| Professional | $75.86 | $112.20 | $147.91 |