| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.12 | $87.12 | $136.13 | |
Aetna
| Professional | $81.78 | $126.65 | $136.13 | |
Ambetter
| Professional | $116.60 | $116.60 | $124.37 | |
BCBS
| Facility | $147.97 | $147.97 | $147.97 | |
BCBS
| Professional | $147.97 | $147.97 | $147.97 | |
Cigna
| Facility | $100.03 | $100.03 | $100.03 | |
Cigna
| Professional | $73.02 | $73.02 | $100.03 | |
United
| Professional | $45.94 | $80.61 | $122.80 |