| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.12 | $159.19 | $177.18 | |
Aetna
| Professional | $98.35 | $138.19 | $260.35 | |
Ambetter
| Professional | $169.27 | $210.17 | $210.17 | |
BCBS
| Professional | $121.55 | $162.07 | $213.61 | |
Cigna
| Facility | $161.13 | $161.13 | $161.13 | |
Cigna
| Professional | $117.80 | $161.62 | $222.95 | |
Qualchoice
| Professional | $241.70 | $241.70 | $241.70 | |
United
| Professional | $136.27 | $170.34 | $238.59 |