| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.34 | $167.34 | $266.70 | |
Aetna
| Professional | $159.34 | $190.87 | $266.70 | |
Ambetter
| Professional | $305.00 | $305.00 | $305.00 | |
BCBS
| Facility | $231.40 | $231.40 | $231.40 | |
BCBS
| Professional | $231.40 | $231.40 | $231.40 | |
Cigna
| Facility | $176.58 | $176.58 | $176.58 | |
Cigna
| Professional | $128.90 | $128.90 | $176.58 | |
United
| Professional | $88.24 | $138.91 | $222.37 |