| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.00 | $714.00 | $714.00 | |
Aetna
| Professional | $283.70 | $467.79 | $714.00 | |
Ambetter
| Professional | $972.28 | $972.28 | $972.28 | |
BCBS
| Facility | $623.66 | $656.49 | $698.33 | |
BCBS
| Professional | $702.44 | $702.44 | $702.44 | |
Cigna
| Facility | $736.58 | $736.58 | $736.58 | |
Cigna
| Professional | $537.70 | $537.70 | $1,068.75 | |
Medica
| Facility | $241.25 | $699.97 | $3,271.09 | |
Medica
| Professional | $356.04 | $594.89 | $1,313.10 | |
United
| Professional | $377.03 | $592.91 | $831.85 |