| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.38 | $380.38 | $606.23 | |
Aetna
| Professional | $332.40 | $428.86 | $662.78 | |
Ambetter
| Professional | $545.60 | $545.60 | $850.00 | |
BCBS
| Facility | $123.50 | $123.50 | $123.50 | |
BCBS
| Professional | $123.50 | $123.50 | $123.50 | |
Cigna
| Facility | $465.67 | $465.67 | $489.93 | |
Cigna
| Professional | $339.94 | $339.94 | $489.93 | |
United
| Professional | $227.80 | $433.55 | $714.77 |