| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.33 | $301.33 | $470.85 | |
Aetna
| Professional | $242.22 | $337.80 | $470.85 | |
Ambetter
| Professional | $403.29 | $430.18 | $430.18 | |
BCBS
| Facility | $416.69 | $416.69 | $416.69 | |
BCBS
| Professional | $416.69 | $416.69 | $416.69 | |
Cigna
| Facility | $260.88 | $260.88 | $260.88 | |
Cigna
| Professional | $190.44 | $190.44 | $260.88 | |
United
| Professional | $134.13 | $268.26 | $424.32 |