| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.75 | $649.75 | $1,035.54 | |
Aetna
| Professional | $407.28 | $791.01 | $1,035.54 | |
Ambetter
| Professional | $800.00 | $955.35 | $1,273.80 | |
BCBS
| Facility | $1,123.13 | $1,123.13 | $1,123.13 | |
BCBS
| Professional | $1,123.13 | $1,123.13 | $1,123.13 | |
Cigna
| Facility | $812.83 | $812.83 | $952.31 | |
Cigna
| Professional | $593.37 | $593.37 | $812.83 | |
United
| Professional | $420.18 | $782.92 | $1,302.66 |