| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.96 | $203.38 | $267.18 | |
Ambetter
| Professional | $197.52 | $197.52 | $197.52 | |
BCBS
| Facility | $199.94 | $789.75 | $1,308.08 | |
BCBS
| Professional | $141.37 | $188.50 | $231.05 | |
Cigna
| Facility | $329.30 | $329.30 | $329.30 | |
Cigna
| Professional | $196.47 | $278.87 | $467.89 | |
Medica
| Facility | $185.25 | $208.58 | $387.14 | |
Medica
| Professional | $190.52 | $253.68 | $1,299.72 | |
United
| Professional | $187.24 | $223.48 | $433.78 |