| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.93 | $47.43 | $81.98 | |
Aetna
| Professional | $18.68 | $23.50 | $87.85 | |
Ambetter
| Professional | $13.18 | $13.18 | $13.18 | |
BCBS
| Facility | $28.82 | $30.64 | $45.97 | |
BCBS
| Professional | $28.34 | $28.97 | $45.28 | |
Cigna
| Facility | $14.43 | $28.23 | $122.56 | |
Cigna
| Professional | $13.54 | $30.59 | $54.00 | |
Medica
| Facility | $19.91 | $19.91 | $45.58 | |
Medica
| Professional | $9.22 | $16.22 | $44.80 | |
United
| Professional | $9.22 | $13.18 | $45.69 |