| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.67 | $214.67 | $342.13 | |
Aetna
| Professional | $140.94 | $248.06 | $342.13 | |
Ambetter
| Professional | $303.33 | $303.33 | $415.37 | |
BCBS
| Facility | $358.38 | $358.38 | $358.38 | |
BCBS
| Professional | $358.38 | $358.38 | $358.38 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $220.10 | $301.51 | |
United
| Professional | $147.19 | $238.06 | $389.74 |