| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.53 | $269.15 | $457.09 | |
Ambetter
| Professional | $354.81 | $354.81 | $354.81 | |
BCBS
| Professional | $389.05 | $389.05 | $389.05 | |
Cigna
| Facility | $263.03 | $263.03 | $776.25 | |
Cigna
| Professional | $190.55 | $190.55 | $512.86 | |
United
| Facility | $263.03 | $302.00 | $549.54 | |
United
| Professional | $134.90 | $245.47 | $323.59 |