| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.85 | $238.48 | $307.14 | |
Ambetter
| Professional | $328.61 | $328.61 | $328.61 | |
BCBS
| Facility | $341.38 | $341.38 | $341.38 | |
BCBS
| Professional | $341.38 | $341.38 | $341.38 | |
Cigna
| Facility | $243.17 | $243.17 | $385.50 | |
Cigna
| Professional | $206.69 | $243.17 | $319.16 | |
United
| Professional | $123.63 | $216.35 | $449.83 |