| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.43 | $173.43 | $276.41 | |
Aetna
| Professional | $141.81 | $197.82 | $276.41 | |
Ambetter
| Professional | $258.16 | $258.16 | $334.24 | |
BCBS
| Facility | $239.82 | $239.82 | $239.82 | |
BCBS
| Professional | $239.82 | $239.82 | $239.82 | |
Cigna
| Facility | $216.42 | $216.42 | $244.45 | |
Cigna
| Professional | $157.99 | $157.99 | $244.45 | |
United
| Facility | $104.55 | $153.02 | $153.02 | |
United
| Professional | $102.93 | $146.91 | $237.92 |