| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.00 | $420.00 | $856.80 | |
Aetna
| Professional | $240.00 | $300.00 | $787.20 | |
Ambetter
| Professional | $99.11 | $246.89 | $336.80 | |
BCBS
| Facility | $1.11 | $1.72 | $1,963.56 | |
BCBS
| Professional | $260.69 | $316.81 | $412.76 | |
United
| Professional | $272.33 | $377.88 | $652.90 |