| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $342.32 | $506.34 | $522.54 | |
Aetna
| Professional | $342.32 | $392.24 | $713.16 | |
Ambetter
| Professional | $502.01 | $502.01 | $561.95 | |
Anthem BCBS
| Facility | $749.26 | $786.72 | $3,458.58 | |
Anthem BCBS
| Professional | $391.06 | $424.98 | $606.19 | |
Cigna
| Facility | $440.05 | $440.05 | $440.05 | |
Cigna
| Professional | $321.24 | $321.24 | $516.02 | |
Medica
| Facility | $342.32 | $603.82 | $3,490.95 | |
Medica
| Professional | $277.85 | $400.49 | $698.49 | |
Qualchoice
| Professional | $674.11 | $674.11 | $674.11 | |
United
| Professional | $277.85 | $373.79 | $530.59 |