| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.40 | $563.40 | $563.40 | |
Aetna
| Professional | $215.25 | $392.24 | $627.58 | |
Ambetter
| Professional | $561.95 | $561.95 | $561.95 | |
BCBS
| Facility | $584.12 | $614.86 | $654.04 | |
BCBS
| Professional | $645.60 | $645.60 | $645.60 | |
Cigna
| Facility | $440.05 | $440.05 | $440.05 | |
Cigna
| Professional | $321.24 | $440.05 | $1,145.63 | |
Medica
| Facility | $215.25 | $603.82 | $3,490.95 | |
Medica
| Professional | $222.28 | $428.99 | $957.19 | |
United
| Professional | $249.20 | $373.79 | $513.79 |