| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $169.82 | |
Aetna
| Professional | $162.18 | $269.15 | $436.52 | |
Ambetter
| Professional | $467.74 | $467.74 | $467.74 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $208.93 | $208.93 | $302.00 | |
Horizon BCBS
| Professional | $309.03 | $309.03 | $309.03 | |
United
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Professional | $229.09 | $302.00 | $616.60 |