| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.22 | $203.84 | $447.74 | |
Aetna
| Professional | $73.55 | $85.90 | $155.38 | |
Ambetter
| Professional | $129.19 | $129.19 | $129.19 | |
BCBS
| Professional | $105.58 | $105.58 | $105.58 | |
Cigna
| Facility | $115.38 | $115.38 | $170.64 | |
Cigna
| Professional | $84.23 | $115.38 | $149.41 | |
United
| Professional | $47.57 | $71.36 | $113.94 |