| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.08 | $66.09 | $210.40 | |
Aetna
| Professional | $15.71 | $17.54 | $35.08 | |
Ambetter
| Professional | $15.06 | $15.06 | $15.06 | |
BCBS
| Facility | $13.48 | $50.33 | $88.19 | |
BCBS
| Professional | $13.95 | $20.30 | $28.92 | |
Cigna
| Facility | $15.24 | $39.15 | $70.47 | |
Cigna
| Professional | $12.15 | $27.67 | $36.65 | |
Medica
| Facility | $17.54 | $17.75 | $114.43 | |
Medica
| Professional | $10.11 | $10.60 | $16.63 | |
United
| Professional | $10.11 | $10.60 | $14.75 |