| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.20 | $76.20 | $76.20 | |
Aetna
| Professional | $40.17 | $65.50 | $99.54 | |
Ambetter
| Professional | $55.35 | $64.31 | $64.45 | |
BCBS
| Facility | $20.58 | $80.79 | $134.62 | |
BCBS
| Professional | $39.50 | $52.67 | $65.84 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $300.91 | $300.91 | $300.91 | |
Medica
| Facility | $60.16 | $99.54 | $186.94 | |
Medica
| Professional | $65.06 | $71.04 | $334.80 | |
United
| Professional | $65.34 | $69.29 | $124.80 |