| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $263.03 | $331.13 | |
Aetna
| Professional | $181.97 | $213.80 | $269.15 | |
Ambetter
| Professional | $177.83 | $208.93 | $316.23 | |
BCBS
| Professional | $204.17 | $204.17 | $269.15 | |
Cigna
| Professional | $204.17 | $302.00 | $416.87 | |
Qualchoice
| Professional | $363.08 | $363.08 | $363.08 | |
United
| Professional | $173.78 | $234.42 | $371.54 |