| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $478.63 | $630.96 | |
Aetna
| Professional | $281.84 | $371.54 | $602.56 | |
Ambetter
| Professional | $208.93 | $208.93 | $208.93 | |
BCBS
| Facility | $147.91 | $177.83 | $239.88 | |
BCBS
| Professional | $151.36 | $186.21 | $288.40 | |
Cigna
| Facility | $302.00 | $354.81 | $912.01 | |
Cigna
| Professional | $186.21 | $251.19 | $2,398.83 | |
United
| Facility | $239.88 | $416.87 | $512.86 | |
United
| Professional | $165.96 | $173.78 | $288.40 |