| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.51 | $294.95 | $1,500.00 | |
Aetna
| Facility | 54 | $73.14 | $73.14 | $86.93 |
Aetna
| Professional | $80.34 | $97.52 | $123.30 | |
Ambetter
| Professional | $101.80 | $101.80 | $102.60 | |
BCBS
| Facility | $217.70 | $264.19 | $355.42 | |
BCBS
| Professional | $61.73 | $99.56 | $117.48 | |
Cigna
| Professional | $86.85 | $124.95 | $254.31 | |
United
| Facility | $250.00 | $896.00 | $1,670.00 | |
United
| Professional | $90.63 | $108.01 | $124.37 |