| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $64.57 | $154.88 | |
Aetna
| Professional | 52 | $22.91 | $22.91 | $22.91 |
Ambetter
| Professional | $109.65 | $109.65 | $109.65 | |
BCBS
| Professional | $45.71 | $45.71 | $48.98 | |
Cigna
| Professional | $72.44 | $75.86 | $95.50 | |
Medcost
| Professional | $64.57 | $64.57 | $64.57 | |
United
| Professional | $31.62 | $67.61 | $112.20 |