| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $163.29 | $163.29 | $163.29 |
Aetna
| Professional | $220.00 | $515.26 | $515.26 | |
Ambetter
| Professional | $255.32 | $255.32 | $255.32 | |
BCBS
| Professional | $213.58 | $292.58 | $345.24 | |
Cigna
| Professional | $240.46 | $294.60 | $772.85 | |
United
| Professional | $204.37 | $271.73 | $334.11 |