| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.76 | $989.00 | $3,109.00 | |
Aetna
| Professional | $221.51 | $310.04 | $421.07 | |
Ambetter
| Professional | $459.52 | $459.52 | $459.52 | |
BCBS
| Facility | $379.42 | $379.42 | $455.30 | |
BCBS
| Professional | $242.19 | $356.16 | $511.87 | |
Cigna
| Facility | $317.94 | $317.94 | $317.94 | |
Cigna
| Professional | $214.10 | $389.73 | $601.70 | |
Qualchoice
| Professional | $528.45 | $528.45 | $528.45 | |
United
| Facility | $130.00 | $328.00 | $768.00 | |
United
| Professional | $311.47 | $400.96 | $701.63 |