| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $112.20 | $190.55 | |
Ambetter
| Professional | $158.49 | $158.49 | $158.49 | |
BCBS
| Professional | $117.49 | $117.49 | $117.49 | |
Cigna
| Facility | $141.25 | $141.25 | $331.13 | |
Cigna
| Professional | $102.33 | $102.33 | $245.47 | |
United
| Facility | $63.10 | $109.65 | $257.04 | |
United
| Professional | $63.10 | $93.33 | $141.25 |