| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.63 | $171.53 | $285.60 | |
Aetna
| Professional | $105.23 | $122.76 | $171.53 | |
Ambetter
| Professional | $144.04 | $144.04 | $153.04 | |
BCBS
| Facility | $150.33 | $150.33 | $150.33 | |
BCBS
| Professional | $150.33 | $150.33 | $150.33 | |
Cigna
| Facility | $118.47 | $120.81 | $120.81 | |
Cigna
| Professional | $88.19 | $88.19 | $120.81 | |
United
| Professional | $56.76 | $94.52 | $150.33 |