| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $141.25 | |
Aetna
| Professional | $107.15 | $158.49 | $323.59 | |
Ambetter
| Professional | $131.83 | $154.88 | $213.80 | |
BCBS
| Professional | $81.28 | $123.03 | $165.96 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $107.15 | $162.18 | $338.84 | |
United
| Facility | $125.89 | $125.89 | $125.89 | |
United
| Professional | $100.00 | $138.04 | $208.93 |