| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.58 | $185.73 | $296.01 | |
Aetna
| Professional | $149.11 | $188.64 | $296.01 | |
Ambetter
| Professional | $274.67 | $310.72 | $310.72 | |
BCBS
| Facility | $256.83 | $256.83 | $256.83 | |
BCBS
| Professional | $256.83 | $256.83 | $256.83 | |
Cigna
| Facility | $184.69 | $194.92 | $194.92 | |
Cigna
| Professional | $142.29 | $142.29 | $194.92 | |
United
| Professional | $103.75 | $154.19 | $246.82 |