| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.16 | $563.16 | $750.29 | |
Aetna
| Professional | $555.66 | $583.65 | $890.84 | |
Ambetter
| Professional | $806.84 | $806.84 | $806.84 | |
Anthem BCBS
| Facility | $1,075.78 | $1,129.57 | $4,965.80 | |
Anthem BCBS
| Professional | $487.32 | $584.04 | $870.36 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $512.48 | $748.40 | |
Medica
| Facility | $521.72 | $870.75 | $5,034.28 | |
Medica
| Professional | $399.17 | $536.70 | $1,307.61 | |
United
| Professional | $399.17 | $536.70 | $816.76 |