| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $190.55 | $389.05 | |
Ambetter
| Professional | $104.71 | $234.42 | $251.19 | |
BCBS
| Professional | $204.17 | $204.17 | $204.17 | |
Cigna
| Facility | $218.78 | $218.78 | $549.54 | |
Cigna
| Professional | $158.49 | $158.49 | $389.05 | |
United
| Facility | $104.71 | $181.97 | $416.87 | |
United
| Professional | $102.33 | $144.54 | $223.87 |