| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.68 | $84.22 | $187.71 | |
Aetna
| Professional | $26.32 | $34.04 | $47.76 | |
Ambetter
| Professional | $17.55 | $17.55 | $17.55 | |
BCBS
| Facility | $34.54 | $40.78 | $64.00 | |
BCBS
| Professional | $47.03 | $47.03 | $50.07 | |
Cigna
| Facility | $28.54 | $66.06 | $200.40 | |
Cigna
| Professional | $20.38 | $33.65 | $69.00 | |
Medica
| Facility | $28.77 | $42.11 | $57.31 | |
Medica
| Professional | $14.74 | $28.66 | $175.45 | |
United
| Professional | $14.74 | $21.05 | $52.64 |