| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.50 | $154.50 | $246.23 | |
Aetna
| Professional | $126.33 | $176.22 | $246.23 | |
Ambetter
| Professional | $206.76 | $206.76 | $250.00 | |
BCBS
| Facility | $213.63 | $213.63 | $213.63 | |
BCBS
| Professional | $213.63 | $213.63 | $213.63 | |
Cigna
| Facility | $135.00 | $135.00 | $135.00 | |
Cigna
| Professional | $98.55 | $98.55 | $135.00 | |
United
| Professional | $81.45 | $130.88 | $205.31 |