| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.07 | $112.92 | $305.25 | |
Aetna
| Professional | $31.55 | $37.77 | $44.94 | |
Ambetter
| Professional | $28.69 | $33.20 | $33.20 | |
BCBS
| Facility | $56.61 | $61.75 | $89.17 | |
BCBS
| Professional | $31.50 | $80.06 | $80.06 | |
Cigna
| Facility | $26.47 | $50.35 | $267.01 | |
Cigna
| Professional | $26.61 | $68.66 | $94.00 | |
Medica
| Facility | $34.82 | $34.82 | $97.36 | |
Medica
| Professional | $20.07 | $28.82 | $97.33 | |
United
| Professional | $21.00 | $28.82 | $99.48 |