| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $112.20 | $144.54 | |
Aetna
| Professional | $77.62 | $112.20 | $112.20 | |
Ambetter
| Professional | $52.48 | $75.86 | $81.28 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
United
| Professional | $204.17 | $204.17 | $204.17 |