| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $208.67 | $698.04 | |
Aetna
| Professional | $41.63 | $57.39 | $67.84 | |
Ambetter
| Professional | $34.90 | $40.40 | $43.50 | |
BCBS
| Facility | $34.76 | $112.58 | $216.60 | |
BCBS
| Professional | $35.99 | $52.35 | $74.59 | |
Cigna
| Facility | $67.56 | $100.98 | $181.76 | |
Cigna
| Professional | $30.87 | $71.45 | $94.48 | |
Medica
| Facility | $45.79 | $64.65 | $295.17 | |
Medica
| Professional | $26.10 | $33.52 | $51.32 | |
United
| Professional | $26.10 | $33.52 | $47.89 |