| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.31 | $269.31 | $269.31 | |
Aetna
| Professional | $127.49 | $269.31 | $269.31 | |
Ambetter
| Professional | $294.00 | $294.00 | $294.00 | |
BCBS
| Professional | $194.98 | $194.98 | $194.98 | |
Cigna
| Facility | $175.00 | $175.00 | $296.95 | |
Cigna
| Professional | $127.75 | $175.00 | $284.22 | |
United
| Facility | $300.68 | $300.68 | $353.74 | |
United
| Professional | $88.24 | $132.35 | $202.54 |