| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.97 | $537.97 | $537.97 | |
Aetna
| Professional | $459.19 | $537.97 | $951.75 | |
Ambetter
| Professional | $1,086.92 | $1,086.92 | $1,086.92 | |
BCBS
| Professional | $605.00 | $793.34 | $1,178.98 | |
Cigna
| Facility | $232.40 | $702.03 | $775.10 | |
Cigna
| Professional | $512.48 | $653.63 | $702.03 | |
Medcost
| Facility | $483.68 | $779.00 | $1,707.01 | |
Medcost
| Professional | $612.00 | $612.00 | $657.00 | |
United
| Professional | $361.50 | $518.08 | $653.63 |