| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
Aetna
| Professional | $73.54 | $119.57 | $190.35 | |
Ambetter
| Professional | $115.05 | $115.05 | $115.05 | |
BCBS
| Facility | $54.00 | $74.56 | $157.01 | |
BCBS
| Professional | $121.82 | $143.32 | $222.07 | |
Cigna
| Professional | $91.88 | $143.32 | $233.41 | |
Medica
| Facility | $73.54 | $144.44 | $797.00 | |
Medica
| Professional | $126.74 | $164.75 | $1,053.68 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 | |
United
| Professional | $126.25 | $149.30 | $216.69 |