| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $114.82 | $147.91 | |
Ambetter
| Professional | $107.15 | $112.20 | $165.96 | |
BCBS
| Facility | $218.78 | $218.78 | $218.78 | |
BCBS
| Professional | $16.98 | $16.98 | $16.98 | |
Cigna
| Facility | $128.82 | $128.82 | $154.88 | |
Cigna
| Professional | $109.65 | $128.82 | $131.83 | |
United
| Facility | $10.00 | $79.43 | $131.83 | |
United
| Professional | $53.70 | $107.15 | $186.21 |