| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $125.89 | $199.53 | |
Aetna
| Professional | $100.00 | $123.03 | $199.53 | |
Ambetter
| Professional | $144.54 | $144.54 | $190.55 | |
BCBS
| Facility | $173.78 | $173.78 | $173.78 | |
BCBS
| Professional | $173.78 | $173.78 | $173.78 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $91.20 | $91.20 | $125.89 | |
United
| Facility | $67.61 | $177.83 | $275.42 | |
United
| Professional | $67.61 | $107.15 | $158.49 |