| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
Aetna
| Professional | $127.00 | $193.90 | $343.76 | |
Ambetter
| Professional | $199.25 | $199.25 | $199.25 | |
BCBS
| Facility | $438.60 | $1,704.86 | $2,700.74 | |
BCBS
| Professional | $113.41 | $131.84 | $200.53 | |
Cigna
| Professional | $123.57 | $189.92 | $312.20 | |
Medica
| Facility | $129.08 | $197.16 | $1,424.00 | |
Medica
| Professional | $165.96 | $206.50 | $1,567.28 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 | |
United
| Professional | $165.96 | $196.51 | $266.39 |