| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $302.00 | $398.11 | |
Aetna
| Professional | $165.96 | $239.88 | $512.86 | |
Ambetter
| Professional | $117.49 | $131.83 | $131.83 | |
BCBS
| Facility | $147.91 | $177.83 | $239.88 | |
BCBS
| Professional | $79.43 | $114.82 | $147.91 | |
Cigna
| Facility | $199.53 | $218.78 | $575.44 | |
Cigna
| Professional | $114.82 | $128.82 | $1,202.26 | |
United
| Facility | $123.03 | $263.03 | $263.03 | |
United
| Professional | $85.11 | $109.65 | $158.49 |