| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $489.78 | |
Aetna
| Professional | $245.47 | $309.03 | $489.78 | |
Ambetter
| Professional | $407.38 | $407.38 | $758.58 | |
BCBS
| Facility | $426.58 | $426.58 | $426.58 | |
BCBS
| Professional | $426.58 | $426.58 | $426.58 | |
Cigna
| Facility | $323.59 | $338.84 | $338.84 | |
Cigna
| Professional | $245.47 | $245.47 | $338.84 | |
United
| Facility | $165.96 | $436.52 | $660.69 | |
United
| Professional | $162.18 | $263.03 | $380.19 |