| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.20 | $263.20 | $419.49 | |
Aetna
| Professional | $224.06 | $300.22 | $419.49 | |
Ambetter
| Professional | $352.25 | $352.25 | $352.25 | |
BCBS
| Facility | $363.96 | $363.96 | $363.96 | |
BCBS
| Professional | $363.96 | $363.96 | $363.96 | |
Cigna
| Facility | $291.02 | $291.02 | $291.02 | |
Cigna
| Professional | $212.45 | $212.45 | $291.02 | |
United
| Facility | $126.04 | $184.46 | $184.46 | |
United
| Professional | $124.08 | $217.13 | $349.76 |