| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.08 | $478.63 | $776.25 | |
Ambetter
| Professional | $645.65 | $676.08 | $776.25 | |
BCBS
| Professional | $562.34 | $562.34 | $562.34 | |
Cigna
| Facility | $501.19 | $501.19 | $1,445.44 | |
Cigna
| Professional | $363.08 | $363.08 | $1,096.48 | |
United
| Facility | $524.81 | $602.56 | $1,096.48 | |
United
| Professional | $269.15 | $398.11 | $616.60 |