| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.37 | $405.37 | $405.37 | |
Aetna
| Professional | $191.89 | $268.27 | $405.37 | |
Ambetter
| Professional | $449.45 | $449.45 | $539.34 | |
BCBS
| Professional | $284.07 | $284.07 | $284.07 | |
Cigna
| Facility | $225.12 | $237.10 | $379.44 | |
Cigna
| Professional | $173.08 | $237.10 | $333.16 | |
United
| Professional | $126.20 | $189.30 | $299.41 |