| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $147.91 | $223.87 | |
Aetna
| Professional | $109.65 | $147.91 | $177.83 | |
Ambetter
| Professional | $15.85 | $120.23 | $147.91 | |
BCBS
| Facility | $154.88 | $154.88 | $154.88 | |
BCBS
| Professional | $154.88 | $154.88 | $154.88 | |
Cigna
| Facility | $141.25 | $165.96 | $165.96 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
United
| Professional | $141.25 | $154.88 | $186.21 |