| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.06 | $136.25 | $187.63 | |
Ambetter
| Professional | $217.57 | $217.57 | $217.57 | |
BCBS
| Facility | $226.17 | $226.17 | $226.17 | |
BCBS
| Professional | $226.17 | $226.17 | $226.17 | |
Cigna
| Facility | $126.72 | $126.72 | $235.41 | |
Cigna
| Professional | $107.71 | $126.72 | $169.65 | |
United
| Professional | $74.12 | $172.58 | $299.04 |