| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $1,348.96 | $7,413.10 | |
Aetna
| Professional | $22.91 | $40.74 | $100.00 | |
Ambetter
| Professional | $16.22 | $21.88 | $26.30 | |
BCBS
| Facility | $57.54 | $60.26 | $60.26 | |
BCBS
| Professional | $28.84 | $28.84 | $60.26 | |
Cigna
| Professional | $5.62 | $25.12 | $53.70 | |
Medica
| Facility | $27.54 | $72.44 | $1,288.25 | |
Medica
| Professional | $30.20 | $61.66 | $380.19 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 | |
United
| Professional | $16.98 | $38.90 | $72.44 |