| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $478.63 | $537.03 | |
Aetna
| Professional | $194.98 | $213.80 | $478.63 | |
Ambetter
| Professional | $117.49 | $131.83 | $186.21 | |
BCBS
| Facility | $446.68 | $446.68 | $446.68 | |
BCBS
| Professional | $380.19 | $380.19 | $380.19 | |
Cigna
| Facility | $169.82 | $177.83 | $218.78 | |
Cigna
| Professional | $112.20 | $223.87 | $446.68 | |
United
| Facility | $234.42 | $263.03 | $316.23 | |
United
| Professional | $109.65 | $158.49 | $645.65 |