| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
Aetna
| Professional | $78.79 | $122.06 | $212.76 | |
Ambetter
| Professional | $120.78 | $120.78 | $120.78 | |
BCBS
| Facility | $438.60 | $1,704.86 | $2,700.74 | |
BCBS
| Professional | $72.58 | $87.21 | $135.18 | |
Cigna
| Professional | $77.86 | $127.10 | $195.85 | |
Medica
| Facility | $81.84 | $130.58 | $1,424.00 | |
Medica
| Professional | $111.24 | $136.94 | $1,053.68 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 | |
United
| Professional | $110.36 | $132.80 | $173.36 |