| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.50 | $280.91 | $311.61 | |
Aetna
| Professional | $121.27 | $175.00 | $294.72 | |
Ambetter
| Professional | $76.75 | $76.75 | $76.75 | |
BCBS
| Facility | $153.50 | $153.50 | $153.50 | |
BCBS
| Professional | $153.50 | $153.50 | $153.50 | |
Cigna
| Facility | $57.54 | $104.77 | $128.72 | |
Cigna
| Professional | $69.94 | $144.00 | $220.96 | |
United
| Professional | $64.47 | $76.75 | $230.25 |