| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $177.83 | $194.98 | |
Aetna
| Professional | $123.03 | $158.49 | $190.55 | |
Ambetter
| Professional | $138.04 | $169.82 | $199.53 | |
Ambetter
| Professional | 25 | $138.04 | $158.49 | $169.82 |
BCBS
| Professional | $154.88 | $223.87 | $223.87 | |
Cigna
| Professional | $194.98 | $204.17 | $398.11 | |
United
| Professional | $109.65 | $158.49 | $218.78 |