| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $239.88 | $257.04 | |
Aetna
| Professional | $141.25 | $186.21 | $380.19 | |
Ambetter
| Professional | $131.83 | $234.42 | $309.03 | |
BCBS
| Facility | $257.04 | $269.15 | $269.15 | |
BCBS
| Professional | $295.12 | $295.12 | $295.12 | |
Cigna
| Facility | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $141.25 | $141.25 | $363.08 | |
Medica
| Facility | $100.00 | $229.09 | $741.31 | |
Medica
| Professional | $104.71 | $154.88 | $2,041.74 | |
United
| Facility | $131.83 | $251.19 | $257.04 | |
United
| Professional | $104.71 | $154.88 | $218.78 |