| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.74 | $299.74 | $299.74 | |
Aetna
| Professional | $250.80 | $299.74 | $299.74 | |
Ambetter
| Professional | $55.50 | $55.50 | $55.50 | |
BCBS
| Professional | $94.11 | $128.91 | $157.91 | |
Cigna
| Professional | $231.29 | $231.29 | $231.29 |