| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.15 | $212.15 | $212.15 | |
Aetna
| Professional | $100.43 | $150.36 | $212.15 | |
Ambetter
| Professional | $232.00 | $232.00 | $232.00 | |
BCBS
| Professional | $147.15 | $147.15 | $147.15 | |
Cigna
| Facility | $130.59 | $130.59 | $233.96 | |
Cigna
| Professional | $95.33 | $130.59 | $223.89 | |
United
| Professional | $69.51 | $104.27 | $161.56 |