| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.00 | $2,640.00 | $5,506.00 | |
Aetna
| Professional | $122.56 | $178.15 | $312.89 | |
Ambetter
| Professional | $195.77 | $195.77 | $195.77 | |
BCBS
| Facility | $438.60 | $1,704.86 | $2,700.74 | |
BCBS
| Professional | $112.86 | $131.19 | $197.01 | |
Cigna
| Professional | $123.26 | $186.91 | $311.43 | |
Medica
| Facility | $128.44 | $195.70 | $1,424.00 | |
Medica
| Professional | $163.44 | $203.70 | $1,540.08 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 | |
United
| Professional | $163.37 | $193.24 | $261.89 |