| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.56 | $115.56 | $115.56 | |
Aetna
| Professional | $61.06 | $82.31 | $106.41 | |
Ambetter
| Professional | $87.28 | $97.79 | $150.00 | |
BCBS
| Professional | $73.54 | $95.20 | $132.88 | |
Cigna
| Professional | $64.27 | $98.77 | $226.30 | |
United
| Professional | $75.68 | $95.14 | $138.41 |