| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.59 | $145.58 | $185.51 | |
Aetna
| Professional | $106.67 | $121.93 | $151.27 | |
Ambetter
| Professional | $169.77 | $169.77 | $169.77 | |
BCBS
| Professional | $128.96 | $189.64 | $189.64 | |
Cigna
| Professional | $162.47 | $164.95 | $186.43 | |
United
| Professional | $100.41 | $127.87 | $169.13 |