| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.04 | $189.04 | $295.37 | |
Aetna
| Professional | $177.45 | $283.56 | $299.94 | |
Ambetter
| Professional | $253.00 | $253.00 | $253.00 | |
BCBS
| Facility | $261.39 | $261.39 | $261.39 | |
BCBS
| Professional | $261.39 | $261.39 | $261.39 | |
Cigna
| Facility | $221.07 | $221.07 | $221.07 | |
Cigna
| Professional | $161.38 | $161.38 | $221.07 | |
United
| Professional | $105.88 | $168.29 | $266.45 |