| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.72 | $241.72 | $241.72 | |
Ambetter
| Professional | $187.80 | $187.80 | $187.80 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $180.13 |