| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.90 | $137.90 | $137.90 | |
Aetna
| Professional | $77.89 | $100.86 | $127.53 | |
Ambetter
| Professional | $107.50 | $122.36 | $174.80 | |
BCBS
| Professional | $87.75 | $121.23 | $158.59 | |
Cigna
| Professional | $82.50 | $119.46 | $271.39 | |
United
| Professional | $90.68 | $117.01 | $166.32 |