| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.45 | $975.00 | $2,812.00 | |
Aetna
| Professional | $46.25 | $65.88 | $85.79 | |
Ambetter
| Professional | $123.16 | $123.16 | $123.16 | |
BCBS
| Professional | $50.15 | $73.75 | $106.01 | |
Cigna
| Facility | $497.86 | $497.86 | $497.86 | |
Cigna
| Professional | $45.40 | $73.48 | $109.96 | |
Qualchoice
| Professional | $141.63 | $141.63 | $141.63 | |
United
| Facility | $130.00 | $330.00 | $768.00 | |
United
| Professional | $67.59 | $80.12 | $141.34 |