| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $77.62 | $93.33 | |
Ambetter
| Professional | $63.10 | $74.13 | $93.33 | |
Ambetter
| Professional | 25 | $79.43 | $79.43 | $87.10 |
BCBS
| Professional | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $74.13 | $81.28 | $91.20 | |
United
| Professional | $74.13 | $79.43 | $109.65 |