| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $524.81 | |
Aetna
| Professional | $263.03 | $323.59 | $524.81 | |
Ambetter
| Professional | $446.68 | $446.68 | $446.68 | |
BCBS
| Facility | $457.09 | $457.09 | $457.09 | |
BCBS
| Professional | $457.09 | $457.09 | $457.09 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $239.88 | $239.88 | $323.59 | |
United
| Facility | $181.97 | $467.74 | $707.95 | |
United
| Professional | $173.78 | $281.84 | $436.52 |