| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.85 | $224.85 | $224.85 | |
Aetna
| Professional | $152.05 | $177.67 | $236.09 | |
Ambetter
| Professional | $122.63 | $122.63 | $178.25 | |
BCBS
| Facility | $682.75 | $828.55 | $1,114.66 | |
BCBS
| Professional | $179.73 | $258.72 | $314.57 | |
Cigna
| Facility | $265.42 | $265.42 | $486.02 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
United
| Professional | $128.97 | $194.36 | $318.25 |