| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
Aetna
| Professional | $94.48 | $153.36 | $253.01 | |
Ambetter
| Professional | $111.03 | $154.94 | $166.55 | |
BCBS
| Facility | $438.60 | $1,704.86 | $2,700.74 | |
BCBS
| Professional | $87.38 | $103.04 | $159.72 | |
Cigna
| Professional | $95.18 | $148.76 | $238.47 | |
Medica
| Facility | $98.93 | $154.58 | $1,424.00 | |
Medica
| Professional | $129.96 | $162.75 | $1,245.92 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 | |
United
| Professional | $129.96 | $158.10 | $212.41 |