| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $85.11 | $123.03 | |
Ambetter
| Professional | $109.65 | $109.65 | $120.23 | |
BCBS
| Professional | $134.90 | $134.90 | $134.90 | |
Cigna
| Facility | $91.20 | $91.20 | $141.25 | |
Cigna
| Professional | $77.62 | $91.20 | $158.49 | |
United
| Facility | $7.41 | $57.54 | $109.65 | |
United
| Professional | $46.77 | $74.13 | $117.49 |