| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $524.81 | $602.56 | |
Ambetter
| Facility | $93.33 | $398.11 | $446.68 | |
BCBS
| Facility | $28.18 | $363.08 | $1,584.89 | |
Optum
| Facility | $371.54 | $478.63 | $933.25 | |
United
| Facility | $371.54 | $478.63 | $933.25 |