| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.10 | $536.10 | $854.41 | |
Aetna
| Professional | $536.10 | $681.32 | $854.41 | |
Ambetter
| Professional | $1,675.00 | $1,675.00 | $1,675.00 | |
BCBS
| Facility | $895.00 | $895.00 | $895.00 | |
BCBS
| Professional | $895.00 | $895.00 | $895.00 | |
Cigna
| Facility | $758.68 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $553.84 | $758.68 | |
United
| Professional | $367.59 | $620.41 | $982.32 |