| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.77 | $260.36 | $466.65 | |
Aetna
| Professional | $115.34 | $192.54 | $304.29 | |
Ambetter
| Professional | $143.38 | $143.38 | $143.38 | |
BCBS
| Facility | $293.27 | $507.19 | $821.70 | |
BCBS
| Professional | $143.16 | $161.94 | $212.50 | |
Cigna
| Professional | $151.09 | $197.98 | $267.95 | |
United
| Professional | $104.74 | $171.67 | $279.37 |