| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $194.98 | $234.42 | |
Ambetter
| Professional | $269.15 | $269.15 | $269.15 | |
BCBS
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Facility | $177.83 | $177.83 | $426.58 | |
Cigna
| Professional | $128.82 | $128.82 | $309.03 | |
United
| Facility | $107.15 | $186.21 | $213.80 | |
United
| Professional | $79.43 | $123.03 | $190.55 |