| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $141.25 | $162.18 | |
Aetna
| Professional | $123.03 | $141.25 | $186.21 | |
Ambetter
| Professional | $141.25 | $162.18 | $173.78 | |
Ambetter
| Professional | 25 | $134.90 | $154.88 | $186.21 |
BCBS
| Facility | $91.20 | $91.20 | $91.20 | |
BCBS
| Professional | $165.96 | $165.96 | $186.21 | |
Cigna
| Professional | $134.90 | $213.80 | $398.11 | |
United
| Professional | $114.82 | $158.49 | $208.93 |