| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.24 | $582.76 | $1,728.00 | |
Aetna
| Professional | $60.09 | $87.52 | $109.45 | |
Aetna
| Professional | 52 | $30.43 | $43.76 | $55.62 |
Ambetter
| Professional | $89.08 | $89.15 | $97.97 | |
BCBS
| Facility | $217.70 | $264.19 | $355.42 | |
BCBS
| Professional | $39.72 | $64.20 | $102.88 | |
Cigna
| Professional | $58.81 | $92.80 | $214.42 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $81.23 | $99.53 | $120.12 |