| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.15 | $174.15 | $174.15 | |
Aetna
| Professional | $167.70 | $174.15 | $277.08 | |
Ambetter
| Professional | $303.32 | $323.54 | $545.98 | |
BCBS
| Professional | $322.50 | $322.50 | $338.63 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $301.51 | $301.51 | |
Medica
| Facility | $99.73 | $182.86 | $1,352.24 | |
Medica
| Professional | $147.19 | $238.04 | $428.67 | |
United
| Professional | $147.19 | $225.13 | $346.36 |