| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $275.42 | |
Aetna
| Professional | $245.47 | $309.03 | $478.63 | |
Ambetter
| Professional | $426.58 | $426.58 | $436.52 | |
BCBS
| Professional | $512.86 | $512.86 | $512.86 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $239.88 | $239.88 | $630.96 | |
Medica
| Facility | $107.15 | $331.13 | $1,174.90 | |
Medica
| Professional | $173.78 | $281.84 | $707.95 | |
United
| Facility | $218.78 | $467.74 | $602.56 | |
United
| Professional | $173.78 | $263.03 | $407.38 |