| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.98 | $80.34 | $102.36 | |
Aetna
| Professional | $58.18 | $71.75 | $104.44 | |
Aetna
| Professional | 25 | $56.30 | $56.30 | $113.16 |
Ambetter
| Professional | $65.78 | $65.78 | $90.01 | |
BCBS
| Professional | $64.48 | $93.99 | $94.83 | |
Cigna
| Professional | $60.13 | $89.30 | $116.80 | |
United
| Professional | $64.73 | $82.65 | $107.25 | |
United
| Professional | 25 | $94.07 | $94.07 | $94.07 |