| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.27 | $85.27 | $85.27 | |
Aetna
| Professional | $52.61 | $74.02 | $96.13 | |
Ambetter
| Professional | $89.02 | $104.87 | $111.00 | |
BCBS
| Professional | $51.00 | $67.11 | $91.10 | |
Cigna
| Professional | $56.39 | $87.85 | $203.82 | |
United
| Professional | $66.38 | $86.81 | $125.13 |