| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.05 | $581.37 | $581.37 | |
Aetna
| Professional | $368.33 | $553.04 | $993.54 | |
Ambetter
| Professional | $828.75 | $828.75 | $828.75 | |
BCBS
| Facility | $241.75 | $873.33 | $1,578.94 | |
BCBS
| Professional | $654.75 | $805.84 | $1,057.67 | |
Cigna
| Facility | $632.51 | $632.51 | $632.51 | |
Cigna
| Professional | $461.73 | $461.73 | $1,170.00 | |
Medica
| Facility | $296.57 | $641.72 | $4,802.66 | |
Medica
| Professional | $414.79 | $459.39 | $702.98 | |
United
| Professional | $414.79 | $459.39 | $692.00 |