| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.00 | $61.22 | $100.57 | |
Aetna
| Professional | $12.76 | $20.48 | $27.63 | |
Ambetter
| Professional | $12.04 | $14.45 | $16.72 | |
BCBS
| Facility | $22.18 | $29.27 | $40.33 | |
BCBS
| Professional | $22.88 | $22.88 | $24.60 | |
Cigna
| Facility | $15.65 | $17.03 | $39.33 | |
Cigna
| Professional | $10.66 | $27.67 | $34.59 | |
Medica
| Facility | $20.04 | $20.04 | $114.38 | |
Medica
| Professional | $10.11 | $13.87 | $28.25 | |
United
| Professional | $10.11 | $13.24 | $15.65 |