| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.17 | $133.50 | $187.63 | |
Ambetter
| Professional | $457.44 | $457.44 | $457.44 | |
BCBS
| Professional | $120.03 | $176.51 | $176.51 | |
Cigna
| Facility | $541.00 | $541.00 | $541.00 | |
Cigna
| Professional | $120.25 | $159.77 | $219.21 | |
United
| Professional | $120.88 | $151.88 | $192.02 |