| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.58 | $143.66 | $221.98 | |
Aetna
| Professional | $45.88 | $71.26 | $72.33 | |
Ambetter
| Professional | $41.71 | $41.71 | $41.71 | |
BCBS
| Professional | $116.95 | $132.75 | $132.75 | |
Cigna
| Facility | $45.69 | $89.96 | $303.45 | |
Cigna
| Professional | $56.71 | $100.15 | $101.75 | |
Medica
| Facility | $62.57 | $72.33 | $245.00 | |
Medica
| Professional | $29.20 | $41.71 | $118.18 | |
United
| Facility | $191.18 | $191.18 | $191.18 | |
United
| Professional | $29.20 | $41.71 | $118.18 |