| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $265.39 | $265.39 | $265.39 | |
Ambetter
| Professional | $713.90 | $713.90 | $713.90 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
Cigna
| Facility | $170.83 | $170.83 | $170.83 | |
Cigna
| Professional | $145.21 | $170.83 | $170.83 |