| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.65 | $672.87 | $10,431.19 | |
Aetna
| Professional | $33.45 | $96.03 | $324.00 | |
Ambetter
| Professional | $56.69 | $56.69 | $56.69 | |
BCBS
| Facility | $594.14 | $781.45 | $1,511.58 | |
BCBS
| Professional | $35.09 | $79.31 | $185.55 | |
Cigna
| Facility | $389.00 | $389.00 | $389.00 | |
Cigna
| Professional | $39.77 | $89.85 | $218.32 | |
Medica
| Facility | $53.15 | $164.66 | $625.54 | |
Medica
| Professional | $72.84 | $91.05 | $651.16 | |
Midlands
| Facility | $43.47 | $123.80 | $189.25 | |
Midlands
| Professional | $40.95 | $94.72 | $218.32 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 | |
United
| Professional | $73.56 | $91.05 | $221.34 |