| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.07 | $275.00 | $275.00 | |
Ambetter
| Professional | $107.62 | $222.84 | $371.05 | |
BCBS
| Professional | $207.29 | $288.00 | $416.91 | |
Medcost
| Facility | $275.00 | $342.88 | $480.73 | |
Medcost
| Professional | $504.42 | $504.42 | $504.42 | |
United
| Professional | $310.94 | $392.88 | $716.21 |