| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.47 | $485.47 | $773.72 | |
Aetna
| Professional | $438.73 | $604.08 | $773.72 | |
Ambetter
| Professional | $973.03 | $973.03 | $973.03 | |
BCBS
| Facility | $799.86 | $799.86 | $799.86 | |
BCBS
| Professional | $799.86 | $799.86 | $799.86 | |
Cigna
| Facility | $636.97 | $636.97 | $712.60 | |
Cigna
| Professional | $464.99 | $464.99 | $636.97 | |
United
| Professional | $321.20 | $525.34 | $858.57 |