| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $776.25 | $1,174.90 | |
Aetna
| Professional | $177.83 | $229.09 | $275.42 | |
Ambetter
| Professional | $549.54 | $549.54 | $660.69 | |
BCBS
| Facility | $575.44 | $912.01 | $1,479.11 | |
BCBS
| Professional | $416.87 | $562.34 | $724.44 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $181.97 | $223.87 | $489.78 | |
Medica
| Facility | $117.49 | $213.80 | $1,621.81 | |
Medica
| Professional | $199.53 | $263.03 | $1,548.82 | |
United
| Facility | $199.53 | $831.76 | $1,445.44 | |
United
| Professional | $199.53 | $234.42 | $346.74 |