| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $1,513.56 | $6,456.54 | |
Aetna
| Professional | $10.96 | $26.92 | $58.88 | |
Ambetter
| Professional | $21.88 | $25.12 | $54.95 | |
BCBS
| Facility | $109.65 | $162.18 | $218.78 | |
BCBS
| Professional | $24.55 | $43.65 | $60.26 | |
Cigna
| Professional | $17.78 | $33.88 | $61.66 | |
Medica
| Facility | $23.44 | $46.77 | $1,122.02 | |
Medica
| Professional | $23.99 | $40.74 | $380.19 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 | |
United
| Professional | $18.62 | $33.11 | $63.10 |