| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.11 | $285.67 | $384.83 | |
Aetna
| Professional | $206.32 | $277.08 | $310.51 | |
Ambetter
| Professional | $400.00 | $400.00 | $400.00 | |
BCBS
| Facility | $433.39 | $740.37 | $1,040.70 | |
BCBS
| Professional | $271.76 | $295.39 | $295.39 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $301.51 | $314.97 | |
United
| Professional | $147.19 | $236.38 | $350.16 |