| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.05 | $294.87 | $651.34 | |
Aetna
| Professional | $230.24 | $254.16 | $952.80 | |
Ambetter
| Professional | $529.76 | $529.76 | $529.76 | |
BCBS
| Facility | $138.04 | $138.04 | $138.04 | |
BCBS
| Professional | $152.76 | $202.19 | $202.19 | |
Cigna
| Professional | $187.99 | $314.76 | $432.57 | |
Qualchoice
| Professional | $609.22 | $609.22 | $609.22 | |
United
| Professional | $200.01 | $263.54 | $516.16 |