| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $53.70 | $69.18 | |
Aetna
| Professional | $51.29 | $58.88 | $83.18 | |
Aetna
| Professional | 25 | $14.45 | $14.45 | $14.45 |
Ambetter
| Professional | $56.23 | $67.61 | $77.62 | |
Ambetter
| Professional | 25 | $64.57 | $70.79 | $79.43 |
BCBS
| Professional | $45.71 | $66.07 | $66.07 | |
Cigna
| Professional | $42.66 | $74.13 | $177.83 | |
United
| Professional | $46.77 | $60.26 | $79.43 |