| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.56 | $86.64 | $220.74 | |
Aetna
| Professional | $34.31 | $37.77 | $251.20 | |
Ambetter
| Professional | $33.20 | $33.20 | $33.20 | |
BCBS
| Facility | $26.74 | $105.00 | $174.97 | |
BCBS
| Professional | $27.69 | $40.28 | $57.40 | |
Cigna
| Facility | $31.42 | $77.70 | $139.86 | |
Cigna
| Professional | $29.12 | $58.23 | $72.79 | |
Medica
| Facility | $34.82 | $35.22 | $227.10 | |
Medica
| Professional | $20.07 | $26.55 | $38.29 | |
United
| Professional | $20.07 | $24.83 | $28.69 |