| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
Aetna
| Professional | $171.49 | $352.80 | $386.86 | |
Ambetter
| Professional | $473.43 | $473.43 | $473.43 | |
BCBS
| Facility | $3,904.89 | $6,159.14 | $9,801.42 | |
BCBS
| Professional | $185.41 | $366.45 | $503.19 | |
Cigna
| Professional | $197.03 | $372.61 | $508.28 | |
Medica
| Facility | $164.75 | $400.00 | $1,500.00 | |
Medica
| Professional | $323.51 | $394.08 | $2,945.68 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $311.82 | $389.77 | $564.92 |