| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.63 | $248.64 | $248.64 | |
Aetna
| Professional | $117.70 | $153.19 | $248.64 | |
Ambetter
| Professional | $206.76 | $206.76 | $206.76 | |
BCBS
| Professional | $169.30 | $169.30 | $169.30 | |
Cigna
| Facility | $135.00 | $135.00 | $274.19 | |
Cigna
| Professional | $98.55 | $135.00 | $240.08 | |
United
| Professional | $81.45 | $122.20 | $189.34 |