| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $977.24 | $1,862.09 | |
Aetna
| Professional | $275.42 | $575.44 | $1,122.02 | |
Ambetter
| Professional | $616.60 | $870.96 | $1,047.13 | |
BCBS
| Facility | $588.84 | $588.84 | $812.83 | |
BCBS
| Professional | $316.23 | $426.58 | $851.14 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $194.98 | $467.74 | $831.76 | |
Qualchoice
| Professional | $1,096.48 | $1,096.48 | $1,202.26 | |
United
| Facility | $128.82 | $363.08 | $1,047.13 | |
United
| Professional | $316.23 | $549.54 | $870.96 |