| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.45 | $927.00 | $1,768.00 | |
Aetna
| Professional | $74.25 | $102.74 | $130.47 | |
Aetna
| Professional | 52 | $37.43 | $51.37 | $65.23 |
Ambetter
| Professional | $104.94 | $104.94 | $112.25 | |
BCBS
| Facility | $217.70 | $264.19 | $355.42 | |
BCBS
| Professional | $57.67 | $89.81 | $133.34 | |
Cigna
| Professional | $72.43 | $112.05 | $253.53 | |
United
| Facility | $225.08 | $750.00 | $1,326.00 | |
United
| Professional | $97.02 | $120.83 | $133.51 |