| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.21 | $173.22 | $198.58 | |
Aetna
| Professional | $82.00 | $122.76 | $173.22 | |
Ambetter
| Professional | $144.04 | $144.04 | $230.46 | |
BCBS
| Professional | $126.12 | $126.12 | $126.12 | |
Cigna
| Facility | $118.47 | $120.81 | $191.04 | |
Cigna
| Professional | $88.19 | $120.81 | $167.28 | |
United
| Professional | $56.76 | $90.20 | $133.57 |