| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $151.36 | $194.98 | |
Ambetter
| Professional | $147.91 | $158.49 | $213.80 | |
BCBS
| Professional | $169.82 | $169.82 | $169.82 | |
Cigna
| Professional | $123.03 | $147.91 | $380.19 | |
United
| Professional | $134.90 | $173.78 | $239.88 |