| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.81 | $161.81 | $161.81 | |
Aetna
| Professional | $98.57 | $125.43 | $167.18 | |
Ambetter
| Professional | $160.85 | $200.00 | $200.00 | |
BCBS
| Facility | $265.83 | $265.83 | $265.83 | |
BCBS
| Professional | $126.24 | $167.08 | $185.64 | |
Cigna
| Professional | $93.73 | $161.54 | $248.57 | |
Qualchoice
| Professional | $184.98 | $184.98 | $219.24 | |
United
| Professional | $105.29 | $148.13 | $281.20 |