| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.17 | $268.44 | $333.20 | |
Ambetter
| Professional | $1,076.30 | $1,076.30 | $1,076.30 | |
BCBS
| Facility | $47.25 | $47.25 | $47.25 | |
BCBS
| Professional | $34.97 | $34.97 | $34.97 | |
Cigna
| Facility | $209.52 | $209.52 | $436.75 | |
Cigna
| Professional | $31.65 | $209.52 | $290.14 | |
United
| Professional | $126.60 | $208.17 | $378.23 |