| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.57 | $917.57 | $917.57 | |
Aetna
| Professional | $434.35 | $917.57 | $917.57 | |
Ambetter
| Professional | $864.76 | $864.76 | $1,017.36 | |
BCBS
| Professional | $607.11 | $607.11 | $607.11 | |
Cigna
| Facility | $710.11 | $710.11 | $1,011.85 | |
Cigna
| Professional | $518.38 | $518.38 | $1,173.00 | |
United
| Professional | $300.64 | $450.97 | $698.73 |