| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $398.11 | $1,023.29 | |
Aetna
| Professional | $114.82 | $169.82 | $295.12 | |
Ambetter
| Professional | $100.00 | $100.00 | $100.00 | |
BCBS
| Facility | $112.20 | $363.08 | $537.03 | |
BCBS
| Professional | $154.88 | $165.96 | $331.13 | |
Cigna
| Facility | $85.11 | $128.82 | $549.54 | |
Cigna
| Professional | $60.26 | $60.26 | $275.42 | |
Medica
| Facility | $144.54 | $177.83 | $933.25 | |
Medica
| Professional | $69.18 | $83.18 | $120.23 | |
United
| Facility | $85.11 | $177.83 | $239.88 | |
United
| Professional | $69.18 | $83.18 | $120.23 |