| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.42 | $491.04 | $7,500.00 | |
Aetna
| Professional | $29.35 | $60.03 | $129.87 | |
Ambetter
| Professional | $22.11 | $26.02 | $26.02 | |
BCBS
| Facility | $203.84 | $278.07 | $422.06 | |
BCBS
| Professional | $42.09 | $93.60 | $110.12 | |
Cigna
| Professional | $18.82 | $44.25 | $138.00 | |
Medica
| Facility | $35.10 | $98.33 | $1,087.00 | |
Medica
| Professional | $57.67 | $86.42 | $651.16 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 | |
United
| Professional | $55.38 | $74.53 | $102.05 |