| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.61 | $334.61 | $334.61 | |
Aetna
| Professional | $169.94 | $334.61 | $334.61 | |
Ambetter
| Professional | $338.34 | $338.34 | $338.34 | |
BCBS
| Professional | $263.73 | $263.73 | $263.73 | |
Cigna
| Facility | $306.16 | $306.16 | $473.30 | |
Cigna
| Professional | $223.50 | $306.16 | $414.44 | |
United
| Professional | $132.38 | $198.59 | $306.01 |