| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $2,290.87 | $5,623.41 | |
Aetna
| Professional | $100.00 | $251.19 | $891.25 | |
Ambetter
| Professional | $102.33 | $223.87 | $346.74 | |
BCBS
| Facility | $165.96 | $588.84 | $794.33 | |
BCBS
| Professional | $77.62 | $125.89 | $251.19 | |
Cigna
| Professional | $109.65 | $218.78 | $416.87 | |
Medica
| Facility | $102.33 | $251.19 | $1,862.09 | |
Medica
| Professional | $223.87 | $331.13 | $1,949.84 | |
United
| Facility | $588.84 | $1,513.56 | $3,235.94 | |
United
| Professional | $102.33 | $213.80 | $371.54 |