| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.00 | $2,640.00 | $5,506.00 | |
Aetna
| Professional | $108.73 | $163.13 | $286.85 | |
Ambetter
| Professional | $144.76 | $152.38 | $179.27 | |
BCBS
| Facility | $438.60 | $1,704.86 | $2,700.74 | |
BCBS
| Professional | $100.27 | $116.57 | $180.46 | |
Cigna
| Professional | $109.24 | $170.65 | $275.72 | |
Medica
| Facility | $114.16 | $175.46 | $1,424.00 | |
Medica
| Professional | $149.04 | $185.00 | $1,412.72 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 | |
United
| Professional | $149.04 | $180.88 | $253.87 |