| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.36 | $240.36 | $240.36 | |
Aetna
| Professional | $113.78 | $176.07 | $240.36 | |
Ambetter
| Professional | $199.88 | $266.51 | $319.81 | |
BCBS
| Professional | $172.49 | $172.49 | $172.49 | |
Cigna
| Facility | $175.81 | $175.81 | $303.52 | |
Cigna
| Professional | $128.34 | $175.81 | $265.79 | |
United
| Professional | $88.64 | $132.96 | $200.28 |