| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.73 | $36.47 | $122.49 | |
Aetna
| Professional | $12.06 | $16.37 | $31.46 | |
Ambetter
| Professional | $15.07 | $15.07 | $15.07 | |
BCBS
| Facility | $111.47 | $125.12 | $220.69 | |
BCBS
| Professional | $49.17 | $71.73 | $192.97 | |
Cigna
| Facility | $12.50 | $25.39 | $100.67 | |
Cigna
| Professional | $11.39 | $35.11 | $215.00 | |
Medica
| Facility | $17.55 | $17.55 | $41.95 | |
Medica
| Professional | $7.34 | $14.47 | $37.20 | |
United
| Professional | $7.34 | $14.47 | $21.34 |