| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.40 | $2,095.40 | $2,095.40 | |
Aetna
| Professional | $44.30 | $51.48 | $77.55 | |
Ambetter
| Professional | $43.28 | $43.28 | $43.28 | |
BCBS
| Facility | $51.26 | $202.46 | $335.34 | |
BCBS
| Professional | $34.40 | $45.88 | $56.59 | |
Cigna
| Facility | $80.89 | $80.89 | $80.89 | |
Cigna
| Professional | $49.28 | $71.54 | $119.89 | |
Medica
| Facility | $45.56 | $51.48 | $101.04 | |
Medica
| Professional | $47.74 | $64.68 | $332.01 | |
United
| Professional | $47.74 | $56.98 | $110.60 |