| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.06 | $131.82 | $210.09 | |
Aetna
| Professional | $125.54 | $150.36 | $210.09 | |
Ambetter
| Professional | $240.00 | $240.00 | $240.00 | |
BCBS
| Facility | $182.30 | $182.30 | $182.30 | |
BCBS
| Professional | $182.30 | $182.30 | $182.30 | |
Cigna
| Facility | $130.59 | $130.59 | $130.59 | |
Cigna
| Professional | $95.33 | $95.33 | $130.59 | |
United
| Professional | $69.51 | $111.68 | $175.18 |