| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.07 | $87.10 | $131.83 | |
Ambetter
| Professional | $87.10 | $117.49 | $162.18 | |
BCBS
| Professional | $107.15 | $107.15 | $107.15 | |
Cigna
| Facility | $100.00 | $100.00 | $245.47 | |
Cigna
| Professional | $72.44 | $72.44 | $177.83 | |
United
| Facility | $91.20 | $104.71 | $186.21 | |
United
| Professional | $45.71 | $72.44 | $107.15 |