| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.20 | $563.20 | $563.20 | |
Aetna
| Professional | $266.60 | $563.20 | $563.20 | |
Ambetter
| Professional | $530.79 | $530.79 | $530.79 | |
BCBS
| Professional | $397.48 | $397.48 | $397.48 | |
Cigna
| Facility | $523.66 | $523.66 | $746.86 | |
Cigna
| Professional | $382.28 | $382.28 | $865.88 | |
United
| Professional | $207.69 | $311.54 | $469.28 |