| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $114.82 | $173.78 | |
Ambetter
| Professional | $107.15 | $107.15 | $169.82 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Facility | $128.82 | $128.82 | $190.55 | |
Cigna
| Professional | $109.65 | $128.82 | $204.17 | |
United
| Facility | $10.72 | $79.43 | $125.89 | |
United
| Professional | $53.70 | $93.33 | $173.78 |