| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.44 | $41.69 | $117.49 | |
Aetna
| Professional | $15.85 | $19.95 | $35.48 | |
Ambetter
| Professional | $14.45 | $14.45 | $28.84 | |
BCBS
| Facility | $123.03 | $186.21 | $194.98 | |
BCBS
| Professional | $51.29 | $51.29 | $51.29 | |
Cigna
| Facility | $13.18 | $30.90 | $54.95 | |
Cigna
| Professional | $11.22 | $27.54 | $151.36 | |
Medica
| Facility | $17.38 | $17.38 | $41.69 | |
Medica
| Professional | $7.41 | $14.45 | $21.38 | |
United
| Facility | $10.96 | $23.99 | $25.70 | |
United
| Professional | $7.41 | $14.45 | $21.38 |