| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.62 | $186.62 | $186.62 | |
Aetna
| Professional | $161.94 | $181.97 | $210.23 | |
Ambetter
| Professional | $248.52 | $248.52 | $248.52 | |
Anthem BCBS
| Professional | $173.83 | $186.62 | $256.36 | |
Cigna
| Facility | $217.02 | $217.02 | $217.02 | |
Cigna
| Professional | $167.84 | $167.84 | $245.22 | |
United
| Professional | $166.97 | $205.07 | $319.48 |