| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $890.84 | $890.84 | $890.84 | |
Aetna
| Professional | $311.04 | $583.65 | $890.84 | |
Ambetter
| Professional | $806.84 | $806.84 | $806.84 | |
BCBS
| Facility | $1,001.29 | $1,092.45 | $1,158.75 | |
BCBS
| Professional | $1,084.34 | $1,084.34 | $1,084.34 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $702.03 | $1,566.56 | |
Medica
| Facility | $311.04 | $867.00 | $5,034.28 | |
Medica
| Professional | $321.20 | $536.70 | $1,374.38 | |
United
| Professional | $326.27 | $534.90 | $718.81 |