| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.90 | $410.07 | $451.88 | |
Aetna
| Professional | $157.77 | $296.06 | $451.88 | |
Ambetter
| Professional | $409.27 | $409.27 | $409.27 | |
BCBS
| Facility | $417.17 | $439.13 | $467.12 | |
BCBS
| Professional | $461.09 | $461.09 | $461.09 | |
Cigna
| Facility | $336.03 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $794.53 | |
Medica
| Facility | $157.77 | $439.77 | $2,563.00 | |
Medica
| Professional | $162.93 | $272.24 | $697.14 | |
United
| Professional | $162.93 | $272.24 | $364.60 |