| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $233.99 | $615.59 | $758.55 | |
Ambetter
| Professional | $663.80 | $663.80 | $675.71 | |
BCBS
| Facility | $153.58 | $554.79 | $1,003.04 | |
BCBS
| Professional | $383.95 | $511.93 | $671.91 | |
Cigna
| Facility | $636.97 | $636.97 | $636.97 | |
Cigna
| Professional | $464.99 | $464.99 | $748.13 | |
Medica
| Facility | $257.39 | $425.96 | $3,153.85 | |
Medica
| Professional | $423.22 | $481.81 | $769.49 | |
United
| Professional | $441.66 | $481.81 | $769.49 |