| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
Aetna
| Professional | $43.02 | $67.44 | $107.15 | |
Ambetter
| Professional | $51.83 | $51.83 | $51.83 | |
BCBS
| Professional | $67.29 | $79.16 | $116.98 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Cigna
| Professional | $56.74 | $83.74 | $119.87 | |
Medica
| Facility | $53.76 | $86.91 | $797.00 | |
Medica
| Professional | $79.22 | $92.77 | $1,070.26 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 | |
United
| Professional | $78.31 | $85.73 | $125.15 |