| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.78 | $106.41 | $288.04 | |
Aetna
| Professional | $46.92 | $52.18 | $464.18 | |
Ambetter
| Professional | $45.12 | $45.12 | $46.92 | |
BCBS
| Facility | $40.38 | $158.56 | $264.20 | |
BCBS
| Professional | $41.81 | $60.82 | $86.66 | |
Cigna
| Facility | $47.45 | $117.30 | $211.14 | |
Cigna
| Professional | $33.27 | $83.01 | $109.96 | |
Medica
| Facility | $52.57 | $52.57 | $342.90 | |
Medica
| Professional | $30.32 | $30.32 | $57.75 | |
United
| Professional | $30.32 | $30.32 | $46.42 |