| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.79 | $90.79 | $90.79 | |
Aetna
| Professional | $61.24 | $79.06 | $102.22 | |
Ambetter
| Professional | $93.22 | $93.58 | $118.50 | |
BCBS
| Professional | $55.23 | $81.69 | $97.00 | |
Cigna
| Professional | $63.16 | $94.56 | $217.06 | |
United
| Professional | $72.45 | $89.86 | $132.96 |