| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $316.23 | $398.11 | |
Ambetter
| Professional | $446.68 | $446.68 | $446.68 | |
BCBS
| Facility | $446.68 | $446.68 | $446.68 | |
BCBS
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Facility | $302.00 | $302.00 | $426.58 | |
Cigna
| Professional | $257.04 | $302.00 | $363.08 | |
United
| Facility | $26.92 | $208.93 | $354.81 | |
United
| Professional | $158.49 | $295.12 | $602.56 |