| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.66 | $142.66 | $142.66 | |
Aetna
| Professional | $78.84 | $103.38 | $131.33 | |
Ambetter
| Professional | $132.83 | $139.47 | $179.94 | |
BCBS
| Professional | $90.79 | $126.39 | $164.07 | |
Cigna
| Professional | $83.21 | $124.22 | $279.64 | |
United
| Professional | $90.79 | $118.72 | $171.69 |