| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.78 | $386.78 | $604.34 | |
Aetna
| Professional | $358.57 | $500.06 | $604.34 | |
Ambetter
| Professional | $517.64 | $517.64 | $552.14 | |
BCBS
| Facility | $656.92 | $656.92 | $656.92 | |
BCBS
| Professional | $656.92 | $656.92 | $656.92 | |
Cigna
| Facility | $380.63 | $380.63 | $380.63 | |
Cigna
| Professional | $277.86 | $277.86 | $380.63 | |
United
| Professional | $198.56 | $344.32 | $469.26 |