| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.50 | $193.50 | $193.50 | |
Aetna
| Professional | $168.68 | $196.83 | $247.32 | |
Ambetter
| Professional | $195.29 | $195.29 | $195.29 | |
Anthem BCBS
| Professional | $188.94 | $198.09 | $273.36 | |
Cigna
| Facility | $234.54 | $234.54 | $234.54 | |
Cigna
| Professional | $183.31 | $183.31 | $261.48 | |
United
| Professional | $176.17 | $214.78 | $335.12 |