| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.97 | $134.16 | $383.50 | |
Aetna
| Professional | $33.36 | $56.40 | $72.50 | |
Ambetter
| Professional | $16.78 | $31.07 | $65.73 | |
BCBS
| Facility | $139.53 | $316.80 | $316.80 | |
BCBS
| Professional | $27.96 | $43.50 | $46.87 | |
Cigna
| Facility | $39.38 | $71.84 | $162.80 | |
Cigna
| Professional | $35.01 | $39.88 | $89.31 | |
Medcost
| Facility | $43.50 | $62.14 | $71.83 | |
Medcost
| Professional | $46.69 | $71.83 | $79.81 | |
United
| Professional | $31.07 | $39.90 | $79.81 | |
Wellcare
| Facility | $99.42 | $295.17 | $295.17 |