| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.78 | $132.78 | $132.78 | |
Aetna
| Professional | $62.85 | $128.91 | $132.78 | |
Ambetter
| Professional | $125.14 | $125.14 | $147.22 | |
BCBS
| Professional | $91.73 | $91.73 | $91.73 | |
Cigna
| Facility | $102.60 | $102.60 | $157.05 | |
Cigna
| Professional | $74.90 | $102.60 | $137.52 | |
United
| Professional | $46.99 | $70.48 | $112.56 |