| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $974.96 | $974.96 | $974.96 | |
Aetna
| Professional | $461.51 | $974.96 | $974.96 | |
Ambetter
| Professional | $918.85 | $918.85 | $918.85 | |
BCBS
| Professional | $692.69 | $692.69 | $692.69 | |
Cigna
| Facility | $731.38 | $731.38 | $1,075.14 | |
Cigna
| Professional | $533.91 | $731.38 | $1,028.91 | |
United
| Professional | $319.45 | $479.17 | $765.11 |