| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $691.83 | $1,862.09 | |
Aetna
| Professional | $173.78 | $407.38 | $933.25 | |
Ambetter
| Professional | $295.12 | $457.09 | $588.84 | |
BCBS
| Professional | $407.38 | $407.38 | $549.54 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $162.18 | $288.40 | $549.54 | |
Qualchoice
| Professional | $245.47 | $645.65 | $707.95 | |
United
| Facility | $128.82 | $331.13 | $851.14 | |
United
| Professional | $186.21 | $346.74 | $562.34 |