| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.28 | $111.36 | $144.87 | |
Ambetter
| Professional | $155.16 | $155.16 | $155.16 | |
BCBS
| Facility | $161.18 | $161.18 | $161.18 | |
BCBS
| Professional | $161.18 | $161.18 | $161.18 | |
Cigna
| Facility | $114.47 | $114.47 | $181.84 | |
Cigna
| Professional | $97.30 | $114.47 | $150.25 | |
United
| Professional | $58.04 | $101.58 | $212.88 |