| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.68 | $130.68 | $130.68 | |
Aetna
| Professional | $66.37 | $130.68 | $130.68 | |
Ambetter
| Professional | $132.13 | $132.13 | $155.46 | |
BCBS
| Professional | $106.30 | $106.30 | $106.30 | |
Cigna
| Facility | $100.03 | $100.03 | $154.65 | |
Cigna
| Professional | $73.02 | $100.03 | $135.41 | |
United
| Professional | $45.94 | $77.56 | $110.03 |