| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.31 | $791.31 | $791.31 | |
Aetna
| Professional | $401.89 | $791.31 | $791.31 | |
Ambetter
| Professional | $800.15 | $800.15 | $800.15 | |
BCBS
| Professional | $637.48 | $637.48 | $637.48 | |
Cigna
| Facility | $583.49 | $583.49 | $933.80 | |
Cigna
| Professional | $425.95 | $583.49 | $817.67 | |
United
| Facility | $466.72 | $466.72 | $466.72 | |
United
| Professional | $310.58 | $469.63 | $717.88 |