| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $190.55 | $190.55 | |
Ambetter
| Professional | $117.49 | $117.49 | $162.18 | |
BCBS
| Facility | $37.15 | $44.67 | $60.26 | |
BCBS
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $190.55 | $190.55 | $190.55 | |
United
| Facility | $162.18 | $169.82 | $181.97 | |
United
| Professional | $162.18 | $190.55 | $204.17 |