| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.24 | $291.49 | $291.49 | |
Aetna
| Professional | $207.86 | $224.18 | $273.64 | |
Ambetter
| Professional | $226.29 | $226.29 | $242.82 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Horizon BCBS
| Professional | $106.25 | $125.00 | $125.00 | |
United
| Professional | $207.49 | $207.49 | $207.49 |