| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.25 | $222.25 | $222.83 | |
Aetna
| Professional | $117.28 | $277.08 | $864.44 | |
Ambetter
| Professional | $397.17 | $397.17 | $397.17 | |
BCBS
| Facility | $56.00 | $202.30 | $365.75 | |
BCBS
| Professional | $140.00 | $186.66 | $245.00 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $220.10 | $353.25 | |
Medica
| Facility | $99.73 | $129.01 | $1,352.24 | |
Medica
| Professional | $190.50 | $220.78 | $346.36 | |
United
| Professional | $190.50 | $220.78 | $346.36 |