| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $131.83 | $269.15 | |
Aetna
| Professional | $50.12 | $57.54 | $72.44 | |
Ambetter
| Professional | $43.65 | $43.65 | $44.67 | |
BCBS
| Facility | $85.11 | $128.82 | $134.90 | |
BCBS
| Professional | $91.20 | $91.20 | $91.20 | |
Cigna
| Facility | $38.90 | $75.86 | $144.54 | |
Cigna
| Professional | $30.20 | $83.18 | $104.71 | |
Medica
| Facility | $52.48 | $52.48 | $125.89 | |
Medica
| Professional | $30.20 | $43.65 | $77.62 | |
United
| Facility | $30.20 | $72.44 | $75.86 | |
United
| Professional | $30.20 | $43.65 | $77.62 |