| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.64 | $248.64 | $248.64 | |
Aetna
| Professional | $117.70 | $176.22 | $248.64 | |
Ambetter
| Professional | $206.76 | $206.76 | $330.82 | |
BCBS
| Professional | $179.38 | $179.38 | $179.38 | |
Cigna
| Facility | $142.00 | $142.00 | $274.19 | |
Cigna
| Professional | $103.66 | $142.00 | $240.08 | |
United
| Professional | $81.45 | $129.46 | $191.71 |