| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $476.83 | $476.83 | $759.94 | |
Aetna
| Professional | $418.55 | $543.88 | $759.94 | |
Ambetter
| Professional | $681.27 | $681.27 | $981.03 | |
BCBS
| Facility | $803.76 | $803.76 | $803.76 | |
BCBS
| Professional | $803.76 | $803.76 | $803.76 | |
Cigna
| Facility | $621.29 | $647.80 | $647.80 | |
Cigna
| Professional | $472.90 | $472.90 | $647.80 | |
United
| Professional | $306.26 | $542.44 | $858.86 |