| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $302.00 | |
Aetna
| Professional | $151.36 | $218.78 | $302.00 | |
Ambetter
| Professional | $16.60 | $25.12 | $33.11 | |
BCBS
| Facility | $281.84 | $281.84 | $316.23 | |
Cigna
| Professional | $239.88 | $239.88 | $239.88 | |
United
| Professional | $213.80 | $288.40 | $371.54 |