| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.09 | $506.09 | $506.09 | |
Aetna
| Professional | $257.02 | $506.09 | $506.09 | |
Ambetter
| Professional | $451.54 | $511.74 | $602.04 | |
BCBS
| Professional | $386.95 | $386.95 | $386.95 | |
Cigna
| Facility | $382.03 | $382.03 | $602.04 | |
Cigna
| Professional | $278.88 | $382.03 | $527.17 | |
United
| Professional | $200.24 | $300.36 | $462.84 |