| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $164.60 | $246.90 | |
Aetna
| Professional | $164.59 | $164.60 | $181.06 | |
Ambetter
| Professional | $93.04 | $93.04 | $93.04 | |
BCBS
| Facility | $156.62 | $156.62 | $156.62 | |
BCBS
| Professional | $156.62 | $156.62 | $156.62 | |
Cigna
| Facility | $148.69 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
United
| Professional | $148.87 | $167.67 | $187.09 |