| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
Aetna
| Professional | $100.96 | $154.76 | $244.94 | |
Ambetter
| Professional | $147.22 | $147.22 | $147.22 | |
BCBS
| Facility | $54.00 | $74.56 | $157.01 | |
BCBS
| Professional | $167.28 | $196.80 | $282.02 | |
Cigna
| Professional | $126.25 | $195.08 | $296.02 | |
Medica
| Facility | $100.96 | $192.57 | $809.00 | |
Medica
| Professional | $165.92 | $211.60 | $1,347.84 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 | |
United
| Professional | $165.13 | $182.04 | $270.35 |