| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.95 | $113.95 | $181.61 | |
Aetna
| Professional | $111.40 | $129.97 | $183.39 | |
Ambetter
| Professional | $152.51 | $152.51 | $200.00 | |
BCBS
| Facility | $159.13 | $159.13 | $159.13 | |
BCBS
| Professional | $159.13 | $159.13 | $159.13 | |
Cigna
| Facility | $106.02 | $127.07 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $127.07 | |
United
| Professional | $59.97 | $98.27 | $159.13 |