| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $870.96 | |
Aetna
| Professional | $169.82 | $223.87 | $512.86 | |
Ambetter
| Professional | $281.84 | $363.08 | $588.84 | |
BCBS
| Professional | $234.42 | $234.42 | $234.42 | |
Cigna
| Facility | $234.42 | $234.42 | $660.69 | |
Cigna
| Professional | $169.82 | $169.82 | $457.09 | |
United
| Facility | $123.03 | $213.80 | $501.19 | |
United
| Professional | $120.23 | $169.82 | $354.81 |