| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.65 | $373.65 | $380.09 | |
Aetna
| Professional | $353.37 | $386.67 | $442.62 | |
Ambetter
| Professional | $356.89 | $356.89 | $375.67 | |
BCBS
| Professional | $392.00 | $527.07 | $628.79 | |
Cigna
| Professional | $368.73 | $531.82 | $666.22 | |
Medica
| Facility | $364.23 | $394.54 | $639.48 | |
Medica
| Professional | $362.90 | $512.33 | $10,080.00 | |
United
| Professional | $362.90 | $449.54 | $765.42 |