| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $3,630.78 | $7,943.28 | |
Aetna
| Professional | $100.00 | $158.49 | $288.40 | |
Ambetter
| Professional | $147.91 | $147.91 | $147.91 | |
BCBS
| Facility | $53.70 | $70.79 | $114.82 | |
BCBS
| Professional | $194.98 | $194.98 | $281.84 | |
Cigna
| Professional | $125.89 | $190.55 | $302.00 | |
Medica
| Facility | $85.11 | $199.53 | $1,096.48 | |
Medica
| Professional | $162.18 | $199.53 | $1,348.96 | |
United
| Facility | $147.91 | $407.38 | $1,778.28 | |
United
| Professional | $123.03 | $169.82 | $245.47 |