| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.12 | $246.51 | $690.04 | |
Aetna
| Professional | $101.35 | $234.77 | $260.43 | |
Ambetter
| Professional | $64.15 | $64.15 | $64.15 | |
BCBS
| Facility | $266.76 | $266.76 | $266.76 | |
BCBS
| Professional | $266.76 | $266.76 | $266.76 | |
Cigna
| Facility | $83.39 | $87.56 | $132.81 | |
Cigna
| Professional | $58.46 | $134.22 | $256.74 | |
United
| Professional | $53.88 | $85.25 | $249.65 |