| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.56 | $157.28 | $212.96 | |
Aetna
| Professional | $110.07 | $141.91 | $185.28 | |
Ambetter
| Professional | $107.79 | $107.79 | $107.79 | |
Ambetter
| Professional | 25 | $157.25 | $157.25 | $157.25 |
BCBS
| Facility | $137.94 | $167.40 | $225.21 | |
BCBS
| Professional | $82.40 | $120.19 | $164.65 | |
Cigna
| Professional | $92.55 | $175.85 | $543.22 | |
United
| Professional | $118.23 | $166.50 | $228.32 |