| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $335.66 | $404.20 | $481.84 | |
Ambetter
| Professional | $512.04 | $512.04 | $512.04 | |
BCBS
| Facility | $716.10 | $716.10 | $716.10 | |
BCBS
| Professional | $620.00 | $620.00 | $620.00 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $108.80 | $128.00 | $128.00 | |
United
| Professional | $268.22 | $347.60 | $860.99 |