| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.14 | $570.14 | $908.66 | |
Aetna
| Professional | $466.18 | $650.30 | $908.66 | |
Ambetter
| Professional | $763.02 | $763.02 | $813.89 | |
BCBS
| Facility | $968.34 | $968.34 | $968.34 | |
BCBS
| Professional | $968.34 | $968.34 | $968.34 | |
Cigna
| Facility | $710.11 | $710.11 | $710.11 | |
Cigna
| Professional | $518.38 | $518.38 | $847.80 | |
United
| Professional | $300.64 | $482.98 | $757.63 |