| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $151.36 | $190.55 | |
Ambetter
| Professional | $125.89 | $154.88 | $158.49 | |
Ambetter
| Professional | 25 | $229.09 | $229.09 | $229.09 |
BCBS
| Professional | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $169.82 | $177.83 | $218.78 | |
United
| Professional | $158.49 | $169.82 | $234.42 |