| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.11 | $507.11 | $507.11 | |
Aetna
| Professional | $488.33 | $507.11 | $791.01 | |
Ambetter
| Professional | $888.77 | $948.02 | $948.02 | |
BCBS
| Professional | $939.09 | $939.09 | $939.09 | |
Cigna
| Facility | $812.83 | $812.83 | $952.31 | |
Cigna
| Professional | $593.37 | $812.83 | $952.31 | |
Medica
| Facility | $288.18 | $532.47 | $3,899.19 | |
Medica
| Professional | $420.18 | $701.43 | $1,266.95 | |
United
| Professional | $420.18 | $630.26 | $988.78 |