| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.07 | $676.07 | $676.07 | |
Aetna
| Professional | $258.31 | $470.68 | $753.09 | |
Ambetter
| Professional | $674.33 | $674.33 | $674.33 | |
BCBS
| Facility | $700.98 | $737.87 | $784.90 | |
BCBS
| Professional | $774.76 | $774.76 | $774.76 | |
Cigna
| Facility | $501.15 | $501.15 | $501.15 | |
Cigna
| Professional | $365.84 | $501.15 | $1,374.84 | |
Medica
| Facility | $258.31 | $724.60 | $4,189.30 | |
Medica
| Professional | $266.75 | $480.60 | $1,148.66 | |
United
| Professional | $299.04 | $448.55 | $616.57 |