| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.11 | $332.11 | $865.73 | |
Aetna
| Professional | $157.21 | $332.11 | $332.11 | |
Ambetter
| Professional | $276.17 | $276.17 | $276.17 | |
BCBS
| Professional | $236.31 | $236.31 | $236.31 | |
Cigna
| Facility | $233.36 | $233.36 | $390.62 | |
Cigna
| Professional | $170.35 | $233.36 | $350.49 | |
United
| Professional | $121.42 | $182.12 | $293.55 |