| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $275.42 | $407.38 | |
Aetna
| Professional | $107.15 | $141.25 | $275.42 | |
Ambetter
| Professional | $66.07 | $75.86 | $95.50 | |
BCBS
| Facility | $147.91 | $147.91 | $147.91 | |
BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
Cigna
| Facility | $93.33 | $107.15 | $263.03 | |
Cigna
| Professional | $61.66 | $134.90 | $245.47 | |
United
| Facility | $128.82 | $141.25 | $173.78 | |
United
| Professional | $60.26 | $87.10 | $380.19 |