| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.05 | $1,389.06 | $1,875.23 | |
Aetna
| Professional | $550.00 | $834.96 | $1,540.87 | |
Ambetter
| Professional | $379.53 | $379.53 | $379.53 | |
BCBS
| Facility | $759.05 | $759.05 | $759.05 | |
BCBS
| Professional | $759.05 | $759.05 | $759.05 | |
Cigna
| Facility | $493.38 | $518.04 | $636.46 | |
Cigna
| Professional | $328.70 | $584.71 | $1,090.32 | |
United
| Professional | $318.80 | $455.43 | $1,295.68 |