| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.66 | $95.66 | $95.66 | |
Aetna
| Professional | $52.05 | $76.41 | $95.66 | |
Ambetter
| Professional | $86.30 | $86.30 | $115.06 | |
BCBS
| Professional | $86.97 | $86.97 | $86.97 | |
Cigna
| Facility | $76.45 | $84.97 | $87.14 | |
Cigna
| Professional | $62.03 | $84.97 | $94.81 | |
United
| Professional | $36.90 | $56.45 | $92.34 |