| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.00 | $1,660.00 | $7,500.00 | |
Aetna
| Professional | $97.87 | $207.90 | $428.39 | |
Ambetter
| Professional | $91.02 | $91.02 | $112.55 | |
BCBS
| Facility | $400.90 | $1,084.71 | $1,850.19 | |
BCBS
| Professional | $136.94 | $161.12 | $364.76 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Cigna
| Professional | $121.27 | $237.34 | $450.31 | |
Medica
| Facility | $105.77 | $304.19 | $852.00 | |
Medica
| Professional | $265.98 | $345.24 | $1,955.60 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 | |
United
| Professional | $131.21 | $299.41 | $412.27 |