| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.68 | $537.84 | $2,675.98 | |
Aetna
| Professional | $226.22 | $297.68 | $309.50 | |
Ambetter
| Professional | $600.00 | $600.00 | $600.00 | |
Cigna
| Facility | $359.51 | $359.51 | $801.75 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 |