| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.74 | $130.91 | $185.95 | |
Ambetter
| Professional | $128.61 | $176.96 | $208.56 | |
BCBS
| Facility | $128.69 | $508.32 | $841.94 | |
BCBS
| Professional | $92.06 | $122.74 | $150.77 | |
Cigna
| Facility | $214.92 | $214.92 | $214.92 | |
Cigna
| Professional | $126.45 | $179.50 | $301.16 | |
Medica
| Facility | $120.81 | $135.82 | $252.08 | |
Medica
| Professional | $123.84 | $162.54 | $1,260.00 | |
United
| Professional | $119.97 | $139.66 | $278.64 |