| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.02 | $452.02 | $452.02 | |
Aetna
| Professional | $229.57 | $452.02 | $452.02 | |
Ambetter
| Professional | $403.29 | $403.29 | $457.06 | |
BCBS
| Professional | $386.17 | $386.17 | $386.17 | |
Cigna
| Facility | $260.88 | $260.88 | $403.29 | |
Cigna
| Professional | $190.44 | $260.88 | $398.59 | |
United
| Professional | $134.13 | $268.26 | $335.33 |