| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.07 | $132.07 | $132.07 | |
Aetna
| Professional | $62.62 | $123.34 | $132.07 | |
Ambetter
| Professional | $94.59 | $94.59 | $127.70 | |
BCBS
| Professional | $80.68 | $110.52 | $130.41 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
United
| Professional | $66.59 | $89.97 | $123.57 |