| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.95 | $113.95 | $181.61 | |
Aetna
| Professional | $93.18 | $116.65 | $181.61 | |
Ambetter
| Professional | $172.84 | $185.00 | $185.00 | |
BCBS
| Facility | $157.56 | $157.56 | $157.56 | |
BCBS
| Professional | $157.56 | $157.56 | $157.56 | |
Cigna
| Facility | $112.67 | $112.67 | $112.67 | |
Cigna
| Professional | $82.25 | $82.25 | $112.67 | |
United
| Professional | $59.97 | $94.59 | $151.41 |