| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $346.74 | |
Aetna
| Professional | $93.33 | $134.90 | $234.42 | |
Ambetter
| Professional | $28.84 | $28.84 | $70.79 | |
BCBS
| Facility | $147.91 | $177.83 | $239.88 | |
BCBS
| Professional | $48.98 | $58.88 | $91.20 | |
Cigna
| Facility | $93.33 | $114.82 | $309.03 | |
Cigna
| Professional | $63.10 | $77.62 | $724.44 | |
United
| Facility | $74.13 | $141.25 | $158.49 | |
United
| Professional | $53.70 | $60.26 | $89.13 |