| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $245.47 | |
Aetna
| Professional | $162.18 | $162.18 | $162.18 | |
Ambetter
| Professional | $100.00 | $102.33 | $107.15 | |
BCBS
| Facility | $218.78 | $218.78 | $218.78 | |
BCBS
| Professional | $218.78 | $218.78 | $218.78 | |
Cigna
| Facility | $177.83 | $177.83 | $177.83 | |
United
| Professional | $158.49 | $173.78 | $190.55 |