| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.11 | $511.11 | $753.28 | |
Aetna
| Professional | $492.18 | $501.64 | $576.86 | |
Ambetter
| Professional | $810.70 | $810.70 | $810.70 | |
BCBS
| Professional | $946.50 | $946.50 | $946.50 | |
Cigna
| Facility | $731.38 | $731.38 | $860.28 | |
Cigna
| Professional | $533.91 | $731.38 | $860.28 | |
Medica
| Facility | $309.33 | $649.19 | $5,006.71 | |
Medica
| Professional | $319.45 | $515.21 | $1,094.23 | |
United
| Professional | $319.45 | $479.17 | $687.43 |