| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $302.00 | $398.11 | |
Aetna
| Professional | $158.49 | $223.87 | $316.23 | |
Ambetter
| Professional | $131.83 | $131.83 | $131.83 | |
BCBS
| Facility | $162.18 | $194.98 | $263.03 | |
BCBS
| Professional | $95.50 | $134.90 | $169.82 | |
Cigna
| Facility | $165.96 | $213.80 | $575.44 | |
Cigna
| Professional | $112.20 | $117.49 | $208.93 | |
United
| Facility | $109.65 | $234.42 | $263.03 | |
United
| Professional | $109.65 | $109.65 | $158.49 |