| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $489.78 | $489.78 | |
Aetna
| Professional | $354.81 | $426.58 | $707.95 | |
Ambetter
| Professional | $426.58 | $691.83 | $870.96 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $758.58 | $758.58 | $1,000.00 | |
Cigna
| Facility | $501.19 | $501.19 | $724.44 | |
Cigna
| Professional | $338.84 | $363.08 | $501.19 | |
Qualchoice
| Professional | $812.83 | $831.76 | $831.76 | |
United
| Facility | $524.81 | $933.25 | $1,096.48 | |
United
| Professional | $269.15 | $416.87 | $616.60 |