| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.85 | $93.85 | $93.85 | |
Aetna
| Professional | $70.04 | $90.90 | $116.47 | |
Ambetter
| Professional | $105.22 | $126.07 | $160.88 | |
BCBS
| Professional | $56.06 | $84.47 | $107.93 | |
Cigna
| Professional | $72.41 | $108.86 | $245.07 | |
United
| Professional | $79.29 | $103.68 | $150.06 |