| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.06 | $129.06 | $129.06 | |
Aetna
| Professional | $65.55 | $129.06 | $129.06 | |
Ambetter
| Professional | $115.16 | $115.16 | $130.51 | |
BCBS
| Professional | $114.27 | $114.27 | $114.27 | |
Cigna
| Facility | $99.32 | $99.32 | $153.54 | |
Cigna
| Professional | $72.50 | $99.32 | $134.44 | |
United
| Professional | $51.07 | $76.59 | $122.31 |