| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $283.70 | $433.87 | $811.43 | |
Ambetter
| Professional | $739.87 | $739.87 | $864.78 | |
BCBS
| Facility | $186.21 | $672.68 | $1,216.17 | |
BCBS
| Professional | $504.32 | $620.70 | $799.16 | |
Cigna
| Facility | $736.58 | $736.58 | $736.58 | |
Cigna
| Professional | $537.70 | $537.70 | $855.00 | |
Medica
| Facility | $241.25 | $312.08 | $3,271.09 | |
Medica
| Professional | $460.82 | $534.05 | $837.85 | |
United
| Professional | $489.56 | $534.05 | $837.85 |