| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.17 | $344.17 | $344.17 | |
Aetna
| Professional | $331.42 | $344.17 | $586.95 | |
Ambetter
| Professional | $694.92 | $694.92 | $694.92 | |
BCBS
| Professional | $637.35 | $637.35 | $637.35 | |
Cigna
| Facility | $621.29 | $647.80 | $647.80 | |
Cigna
| Professional | $472.90 | $472.90 | $713.63 | |
Medica
| Facility | $344.17 | $406.36 | $3,006.95 | |
Medica
| Professional | $306.26 | $504.46 | $924.85 | |
United
| Professional | $306.26 | $504.46 | $733.69 |