| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.88 | $261.74 | $466.85 | |
Aetna
| Professional | $198.96 | $228.77 | $323.62 | |
Ambetter
| Professional | $185.90 | $314.94 | $314.94 | |
BCBS
| Professional | $204.13 | $270.17 | $270.17 | |
Cigna
| Professional | $202.15 | $303.11 | $394.80 | |
Qualchoice
| Professional | $362.18 | $362.18 | $362.18 | |
United
| Professional | $172.95 | $223.82 | $386.97 |