| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $114.82 | |
Aetna
| Professional | $87.10 | $147.91 | $295.12 | |
Ambetter
| Professional | $107.15 | $128.82 | $194.98 | |
BCBS
| Professional | $70.79 | $104.71 | $144.54 | |
Cigna
| Facility | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $87.10 | $131.83 | $281.84 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $79.43 | $112.20 | $169.82 |