| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.36 | $235.38 | $340.52 | |
Aetna
| Professional | $204.76 | $235.38 | $328.89 | |
Ambetter
| Professional | $368.23 | $368.23 | $385.00 | |
BCBS
| Facility | $285.36 | $285.36 | $285.36 | |
BCBS
| Professional | $285.36 | $285.36 | $285.36 | |
Cigna
| Facility | $233.36 | $233.36 | $233.36 | |
Cigna
| Professional | $170.35 | $170.35 | $233.36 | |
United
| Professional | $121.42 | $183.71 | $290.87 |