| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.08 | $91.08 | $91.08 | |
Aetna
| Professional | $61.06 | $79.11 | $102.24 | |
Ambetter
| Professional | $95.70 | $111.86 | $149.15 | |
BCBS
| Professional | $55.41 | $81.69 | $97.30 | |
Cigna
| Professional | $62.72 | $94.86 | $217.77 | |
United
| Professional | $72.78 | $92.34 | $133.38 |