| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $501.19 | $1,445.44 | |
Aetna
| Professional | $186.21 | $288.40 | $741.31 | |
Ambetter
| Professional | $380.19 | $416.87 | $489.78 | |
BCBS
| Facility | $208.93 | $676.08 | $1,000.00 | |
BCBS
| Professional | $269.15 | $269.15 | $1,318.26 | |
Cigna
| Facility | $575.44 | $707.95 | $891.25 | |
Cigna
| Professional | $194.98 | $316.23 | $478.63 | |
Medica
| Facility | $117.49 | $251.19 | $1,621.81 | |
Medica
| Professional | $223.87 | $316.23 | $1,548.82 | |
United
| Facility | $223.87 | $223.87 | $223.87 | |
United
| Professional | $223.87 | $302.00 | $416.87 |