| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.00 | $108.68 | $146.61 | |
Ambetter
| Professional | $93.63 | $93.63 | $93.63 | |
BCBS
| Professional | $164.72 | $164.72 | $164.72 | |
Cigna
| Facility | $110.00 | $110.00 | $112.20 | |
Cigna
| Professional | $13.15 | $110.00 | $234.38 | |
United
| Professional | $49.08 | $85.77 | $175.56 |