| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.14 | $72.19 | $173.26 | |
Aetna
| Professional | $49.54 | $52.18 | $57.75 | |
Ambetter
| Professional | $43.31 | $43.31 | $43.31 | |
BCBS
| Facility | $220.23 | $295.77 | $428.45 | |
BCBS
| Professional | $68.58 | $68.58 | $68.58 | |
Cigna
| Facility | $39.17 | $46.92 | $93.42 | |
Cigna
| Professional | $32.14 | $63.59 | $103.77 | |
Medica
| Facility | $52.57 | $52.57 | $342.90 | |
Medica
| Professional | $30.32 | $30.32 | $72.19 | |
United
| Professional | $30.32 | $30.32 | $43.31 |