| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.13 | $121.13 | $121.13 | |
Aetna
| Professional | $65.23 | $86.06 | $111.14 | |
Ambetter
| Professional | $103.94 | $135.84 | $135.84 | |
BCBS
| Professional | $77.08 | $101.69 | $139.30 | |
Cigna
| Professional | $68.67 | $104.33 | $237.67 | |
United
| Professional | $81.68 | $102.56 | $145.16 |