| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.05 | $356.96 | $2,477.00 | |
Aetna
| Professional | $22.14 | $59.95 | $101.20 | |
Ambetter
| Professional | $116.25 | $116.25 | $116.25 | |
BCBS
| Facility | $179.58 | $179.58 | $179.58 | |
BCBS
| Professional | $46.94 | $46.94 | $130.59 | |
CareSource
| Professional | $94.93 | $94.93 | $94.93 | |
Cigna
| Facility | $155.53 | $155.53 | $155.53 | |
Cigna
| Professional | $17.55 | $41.09 | $96.94 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $53.23 | $79.31 | $93.95 |