| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.13 | $479.13 | $479.13 | |
Aetna
| Professional | $226.81 | $479.13 | $479.13 | |
Ambetter
| Professional | $451.56 | $451.56 | $451.56 | |
BCBS
| Professional | $395.39 | $395.39 | $395.39 | |
Cigna
| Facility | $313.79 | $313.79 | $563.04 | |
Cigna
| Professional | $229.07 | $313.79 | $493.02 | |
United
| Professional | $167.02 | $250.53 | $377.39 |