| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $125.89 | $138.04 | |
Aetna
| Professional | $123.03 | $151.36 | $323.59 | |
Ambetter
| Professional | $141.25 | $162.18 | $194.98 | |
Ambetter
| Professional | 25 | $138.04 | $154.88 | $181.97 |
BCBS
| Professional | $112.20 | $158.49 | $158.49 | |
Cigna
| Professional | $97.72 | $177.83 | $398.11 | |
United
| Professional | $97.72 | $144.54 | $190.55 |