| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.18 | $885.00 | $2,600.00 | |
Aetna
| Professional | $114.09 | $144.25 | $174.63 | |
Ambetter
| Professional | $177.47 | $177.47 | $177.47 | |
BCBS
| Facility | $1,529.68 | $1,856.34 | $2,497.38 | |
BCBS
| Professional | $86.14 | $139.24 | $171.10 | |
Cigna
| Professional | $116.64 | $153.75 | $339.83 | |
United
| Facility | $375.00 | $1,234.00 | $2,481.00 | |
United
| Professional | $129.09 | $160.44 | $186.11 |