| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $1,071.52 | $2,041.74 | |
Aetna
| Professional | $72.44 | $173.78 | $588.84 | |
Ambetter
| Professional | $63.10 | $114.82 | $562.34 | |
BCBS
| Professional | $371.54 | $371.54 | $501.19 | |
Cigna
| Professional | $131.83 | $275.42 | $891.25 | |
Qualchoice
| Professional | $131.83 | $131.83 | $645.65 | |
United
| Facility | $128.82 | $331.13 | $851.14 | |
United
| Professional | $79.43 | $398.11 | $758.58 |