| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
Aetna
| Professional | $84.24 | $130.16 | $227.20 | |
Ambetter
| Professional | $128.72 | $128.72 | $139.72 | |
BCBS
| Facility | $438.60 | $1,704.86 | $2,700.74 | |
BCBS
| Professional | $79.93 | $92.92 | $144.03 | |
Cigna
| Professional | $86.27 | $135.94 | $215.63 | |
Medica
| Facility | $90.14 | $139.27 | $1,424.00 | |
Medica
| Professional | $118.80 | $147.69 | $1,120.80 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 | |
United
| Professional | $115.50 | $141.44 | $201.94 |