| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $354.81 | $707.95 | |
Aetna
| Professional | $93.33 | $199.53 | $912.01 | |
Ambetter
| Professional | $70.79 | $89.13 | $251.19 | |
BCBS
| Facility | $218.78 | $295.12 | $912.01 | |
BCBS
| Professional | $204.17 | $223.87 | $234.42 | |
Cigna
| Professional | $79.43 | $275.42 | $338.84 | |
Medica
| Facility | $120.23 | $316.23 | $562.34 | |
Medica
| Professional | $60.26 | $85.11 | $501.19 | |
United
| Facility | $60.26 | $134.90 | $288.40 | |
United
| Professional | $81.28 | $85.11 | $141.25 |