| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.33 | $535.33 | $535.33 | |
Aetna
| Professional | $271.89 | $535.33 | $535.33 | |
Ambetter
| Professional | $541.30 | $541.30 | $541.30 | |
BCBS
| Professional | $453.41 | $453.41 | $453.41 | |
Cigna
| Facility | $397.94 | $397.94 | $636.84 | |
Cigna
| Professional | $290.50 | $397.94 | $557.64 | |
United
| Professional | $211.81 | $317.70 | $489.58 |