| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $181.97 | |
Aetna
| Professional | $91.20 | $128.82 | $181.97 | |
Ambetter
| Professional | $33.11 | $33.11 | $33.11 | |
BCBS
| Facility | $165.96 | $165.96 | $186.21 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Professional | $138.04 | $162.18 | $239.88 |