| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.23 | $975.00 | $2,812.00 | |
Aetna
| Professional | $162.71 | $318.30 | $409.54 | |
Ambetter
| Professional | $195.36 | $549.74 | $584.97 | |
BCBS
| Professional | $175.83 | $258.57 | $521.85 | |
Cigna
| Facility | $497.86 | $497.86 | $497.86 | |
Cigna
| Professional | $157.74 | $288.98 | $523.91 | |
Qualchoice
| Professional | $224.66 | $632.20 | $672.72 | |
United
| Facility | $130.00 | $330.00 | $768.00 | |
United
| Professional | $314.17 | $389.77 | $679.71 |