| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $885.97 | $885.97 | $885.97 | |
Aetna
| Professional | $309.33 | $580.47 | $885.97 | |
Ambetter
| Professional | $716.85 | $716.85 | $802.44 | |
BCBS
| Facility | $817.94 | $860.99 | $915.87 | |
BCBS
| Professional | $904.04 | $904.04 | $904.04 | |
Cigna
| Facility | $731.38 | $731.38 | $731.38 | |
Cigna
| Professional | $533.91 | $731.38 | $1,558.13 | |
Medica
| Facility | $309.33 | $862.25 | $5,006.71 | |
Medica
| Professional | $319.45 | $533.77 | $1,366.85 | |
United
| Professional | $319.45 | $517.11 | $714.87 |