| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $569.64 | $569.64 | $839.57 | |
Aetna
| Professional | $548.54 | $569.64 | $642.95 | |
Ambetter
| Professional | $1,024.00 | $1,024.00 | $1,024.00 | |
BCBS
| Professional | $1,054.88 | $1,054.88 | $1,054.88 | |
Cigna
| Facility | $736.69 | $736.69 | $958.87 | |
Cigna
| Professional | $537.78 | $537.78 | $1,389.38 | |
Medica
| Facility | $344.78 | $723.55 | $5,580.24 | |
Medica
| Professional | $356.04 | $574.22 | $1,191.51 | |
United
| Professional | $356.04 | $543.21 | $766.18 |