| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.50 | $176.22 | $246.23 | |
Aetna
| Professional | $147.27 | $176.22 | $246.23 | |
Ambetter
| Professional | $206.76 | $206.76 | $229.96 | |
BCBS
| Facility | $215.77 | $215.77 | $215.77 | |
BCBS
| Professional | $215.77 | $215.77 | $215.77 | |
Cigna
| Facility | $142.00 | $142.00 | $146.03 | |
Cigna
| Professional | $103.66 | $103.66 | $142.00 | |
United
| Professional | $81.45 | $130.88 | $217.77 |