| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $467.74 | $5,754.40 | |
Aetna
| Professional | $30.20 | $77.62 | $208.93 | |
Ambetter
| Professional | $22.91 | $38.02 | $79.43 | |
BCBS
| Facility | $208.93 | $263.03 | $295.12 | |
BCBS
| Professional | $42.66 | $42.66 | $112.20 | |
Cigna
| Professional | $12.02 | $41.69 | $125.89 | |
Medica
| Facility | $36.31 | $114.82 | $1,288.25 | |
Medica
| Professional | $57.54 | $89.13 | $645.65 | |
United
| Facility | $190.55 | $524.81 | $1,905.46 | |
United
| Professional | $24.55 | $54.95 | $95.50 |