| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.15 | $126.15 | $126.15 | |
Aetna
| Professional | $69.18 | $89.59 | $115.85 | |
Ambetter
| Professional | $90.61 | $116.08 | $143.91 | |
BCBS
| Professional | $80.28 | $107.96 | $145.07 | |
Cigna
| Professional | $72.89 | $108.40 | $248.09 | |
United
| Professional | $81.73 | $105.00 | $151.47 |