| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $50.12 | $61.66 | |
Ambetter
| Professional | $35.48 | $37.15 | $53.70 | |
Ambetter
| Professional | 25 | $43.65 | $43.65 | $43.65 |
BCBS
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $43.65 | $53.70 | $53.70 | |
United
| Professional | $47.86 | $52.48 | $70.79 |