| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $1,318.26 | $1,995.26 | |
Aetna
| Professional | $83.18 | $117.49 | $436.52 | |
Ambetter
| Professional | $77.62 | $89.13 | $104.71 | |
BCBS
| Facility | $1,380.38 | $1,621.81 | $2,238.72 | |
BCBS
| Professional | $63.10 | $102.33 | $134.90 | |
Cigna
| Professional | $83.18 | $104.71 | $354.81 | |
United
| Facility | $251.19 | $588.84 | $1,548.82 | |
United
| Professional | $77.62 | $97.72 | $125.89 |