| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.16 | $612.16 | $612.16 | |
Aetna
| Professional | $333.24 | $448.87 | $612.16 | |
Ambetter
| Professional | $727.46 | $727.46 | $727.46 | |
BCBS
| Professional | $504.65 | $504.65 | $504.65 | |
Cigna
| Facility | $465.67 | $465.67 | $496.23 | |
Cigna
| Professional | $339.94 | $465.67 | $626.29 | |
United
| Professional | $227.80 | $341.71 | $573.61 |