| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $924.18 | $924.18 | $1,472.91 | |
Aetna
| Professional | $758.77 | $1,054.14 | $1,472.91 | |
Ambetter
| Professional | $982.58 | $982.58 | $982.58 | |
BCBS
| Facility | $1,277.96 | $1,277.96 | $1,277.96 | |
BCBS
| Professional | $1,277.96 | $1,277.96 | $1,277.96 | |
Cigna
| Facility | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $661.77 | $661.77 | $906.54 | |
United
| Professional | $420.18 | $760.69 | $1,228.10 |