| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $70.79 | $1,000.00 | |
Aetna
| Professional | $23.44 | $40.74 | $91.20 | |
Ambetter
| Professional | $16.60 | $26.30 | $30.90 | |
BCBS
| Facility | $257.04 | $309.03 | $416.87 | |
BCBS
| Professional | $25.70 | $34.67 | $48.98 | |
Cigna
| Professional | $12.02 | $21.38 | $74.13 | |
United
| Facility | $229.09 | $263.03 | $309.03 | |
United
| Professional | $18.62 | $28.84 | $40.74 |