| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.90 | $497.24 | $497.24 | |
Aetna
| Professional | $235.38 | $308.97 | $497.24 | |
Ambetter
| Professional | $551.32 | $551.32 | $551.32 | |
BCBS
| Professional | $373.33 | $373.33 | $373.33 | |
Cigna
| Facility | $321.89 | $336.03 | $548.39 | |
Cigna
| Professional | $245.30 | $245.30 | $635.63 | |
United
| Professional | $162.93 | $244.39 | $393.91 |