| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $275.42 | |
Aetna
| Professional | $138.04 | $177.83 | $281.84 | |
Ambetter
| Professional | $104.71 | $245.47 | $257.04 | |
BCBS
| Facility | $239.88 | $239.88 | $239.88 | |
BCBS
| Professional | $239.88 | $239.88 | $239.88 | |
Cigna
| Facility | $218.78 | $218.78 | $245.47 | |
Cigna
| Professional | $158.49 | $158.49 | $245.47 | |
United
| Facility | $104.71 | $245.47 | $416.87 | |
United
| Professional | $102.33 | $147.91 | $229.09 |