| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $457.09 | $912.01 | |
Aetna
| Professional | $173.78 | $229.09 | $524.81 | |
Ambetter
| Professional | $263.03 | $263.03 | $263.03 | |
Anthem BCBS
| Facility | $263.03 | $263.03 | $912.01 | |
Anthem BCBS
| Professional | $104.71 | $190.55 | $467.74 | |
BCBS
| Facility | $407.38 | $416.87 | $758.58 | |
BCBS
| Professional | $186.21 | $263.03 | $489.78 | |
Cigna
| Facility | $204.17 | $512.86 | $1,202.26 | |
Cigna
| Professional | $123.03 | $151.36 | $380.19 | |
Medica
| Facility | $229.09 | $331.13 | $1,258.93 | |
Medica
| Professional | $109.65 | $173.78 | $1,318.26 | |
United
| Facility | $123.03 | $263.03 | $316.23 | |
United
| Professional | $109.65 | $158.49 | $309.03 |