| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.89 | $236.49 | $271.00 | |
Aetna
| Professional | $211.06 | $224.18 | $272.83 | |
Ambetter
| Professional | $76.87 | $262.54 | $265.04 | |
BCBS
| Facility | $165.99 | $165.99 | $203.34 | |
BCBS
| Professional | $114.12 | $145.24 | $186.74 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Medica
| Facility | $211.06 | $244.75 | $397.56 | |
Medica
| Professional | $207.49 | $207.49 | $207.49 | |
United
| Professional | $207.49 | $207.49 | $207.49 |