| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.51 | $91.51 | $91.51 | |
Aetna
| Professional | $53.63 | $73.62 | $91.51 | |
Ambetter
| Professional | $68.45 | $68.45 | $68.45 | |
BCBS
| Professional | $51.22 | $77.19 | $102.14 | |
Cigna
| Professional | $64.28 | $64.28 | $64.28 | |
United
| Professional | $53.48 | $70.17 | $96.83 |