| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.27 | $132.27 | $132.27 | |
Aetna
| Professional | $62.61 | $70.88 | $132.27 | |
Ambetter
| Professional | $124.66 | $124.66 | $124.66 | |
BCBS
| Professional | $85.94 | $85.94 | $85.94 | |
Cigna
| Facility | $84.33 | $88.85 | $124.04 | |
Cigna
| Professional | $64.86 | $88.85 | $110.00 | |
United
| Professional | $36.90 | $55.35 | $89.22 |