| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $1,230.27 | $2,454.71 | |
Aetna
| Professional | $93.33 | $229.09 | $537.03 | |
Ambetter
| Professional | $87.10 | $218.78 | $380.19 | |
BCBS
| Facility | $1,174.90 | $1,412.54 | $1,905.46 | |
BCBS
| Professional | $128.82 | $263.03 | $363.08 | |
Cigna
| Facility | $169.82 | $169.82 | $169.82 | |
Cigna
| Facility | 53 | $33.88 | $33.88 | $33.88 |
Cigna
| Professional | $100.00 | $186.21 | $407.38 | |
United
| Facility | $407.38 | $1,148.15 | $2,511.89 | |
United
| Professional | $83.18 | $204.17 | $416.87 |