| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.11 | $114.82 | $134.90 | |
Ambetter
| Professional | $208.93 | $208.93 | $208.93 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Facility | $114.82 | $114.82 | $186.21 | |
Cigna
| Professional | $97.72 | $114.82 | $204.17 | |
United
| Facility | $8.32 | $74.13 | $120.23 | |
United
| Professional | $70.79 | $107.15 | $158.49 |