| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $489.78 | $1,258.93 | |
Aetna
| Professional | $169.82 | $204.17 | $316.23 | |
Ambetter
| Professional | $186.21 | $186.21 | $186.21 | |
BCBS
| Facility | $28.84 | $40.74 | $1,737.80 | |
BCBS
| Professional | $154.88 | $263.03 | $323.59 | |
Cigna
| Facility | $169.82 | $645.65 | $1,513.56 | |
Cigna
| Professional | $120.23 | $138.04 | $389.05 | |
Medcost
| Facility | $186.21 | $234.42 | $489.78 | |
United
| Facility | $234.42 | $263.03 | $316.23 | |
United
| Professional | $109.65 | $158.49 | $263.03 |