| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $186.21 | $234.42 | |
Ambetter
| Professional | 25 | $169.82 | $169.82 | $245.47 |
BCBS
| Professional | $213.80 | $213.80 | $213.80 | |
Cigna
| Professional | $190.55 | $208.93 | $239.88 | |
United
| Professional | $194.98 | $213.80 | $288.40 |