| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.67 | $202.71 | $321.39 | |
Ambetter
| Professional | $197.48 | $320.64 | $336.19 | |
BCBS
| Facility | $199.26 | $787.09 | $1,303.68 | |
BCBS
| Professional | $141.35 | $188.46 | $231.77 | |
Cigna
| Facility | $330.31 | $330.31 | $330.31 | |
Cigna
| Professional | $195.80 | $277.94 | $466.33 | |
Medica
| Facility | $185.96 | $208.54 | $387.06 | |
Medica
| Professional | $190.52 | $251.58 | $2,139.73 | |
United
| Professional | $185.69 | $221.63 | $430.20 |