| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.84 | $228.20 | $400.43 | |
Aetna
| Professional | $92.71 | $103.11 | $124.09 | |
Ambetter
| Professional | $206.10 | $206.10 | $206.10 | |
BCBS
| Professional | $93.00 | $98.85 | $167.76 | |
Cigna
| Facility | $259.22 | $351.37 | $813.25 | |
Cigna
| Professional | $64.77 | $69.59 | $193.78 | |
Medcost
| Facility | $111.25 | $142.63 | $206.81 | |
United
| Professional | $59.90 | $81.34 | $129.88 |