| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.18 | $104.90 | $148.59 | |
Ambetter
| Professional | $106.45 | $106.45 | $106.45 | |
BCBS
| Professional | $164.67 | $164.67 | $164.67 | |
Cigna
| Facility | $129.12 | $129.12 | $131.69 | |
Cigna
| Professional | $109.75 | $129.12 | $202.50 | |
United
| Professional | $53.56 | $81.20 | $171.85 |