| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.75 | $131.75 | $131.75 | |
Aetna
| Professional | $62.37 | $96.56 | $131.75 | |
Ambetter
| Professional | $109.55 | $109.55 | $175.28 | |
BCBS
| Professional | $108.66 | $108.66 | $108.66 | |
Cigna
| Facility | $95.80 | $96.73 | $171.23 | |
Cigna
| Professional | $70.61 | $96.73 | $149.94 | |
United
| Professional | $48.58 | $72.88 | $109.78 |