| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.19 | $214.19 | $214.19 | |
Aetna
| Professional | $78.04 | $201.27 | $214.19 | |
Ambetter
| Professional | $284.86 | $284.86 | $284.86 | |
BCBS
| Professional | $193.70 | $242.13 | $256.37 | |
Cigna
| Professional | $89.36 | $135.78 | $150.58 | |
Qualchoice
| Professional | $327.58 | $327.58 | $327.58 | |
United
| Professional | $88.44 | $122.65 | $169.75 |