| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.50 | $173.67 | $334.97 | |
Aetna
| Professional | $40.39 | $56.40 | $65.23 | |
Ambetter
| Professional | $31.07 | $37.28 | $40.40 | |
BCBS
| Facility | $94.11 | $101.05 | $149.69 | |
BCBS
| Professional | $74.48 | $74.48 | $141.79 | |
Cigna
| Facility | $39.38 | $65.43 | $323.91 | |
Cigna
| Professional | $30.87 | $89.31 | $105.00 | |
Medica
| Facility | $56.76 | $64.65 | $295.17 | |
Medica
| Professional | $26.10 | $37.28 | $99.42 | |
United
| Facility | $170.89 | $170.89 | $170.89 | |
United
| Professional | $26.10 | $37.28 | $129.30 |