| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.56 | $86.85 | $126.35 | |
Aetna
| Professional | $19.97 | $30.38 | $31.83 | |
Ambetter
| Professional | $17.55 | $17.55 | $21.05 | |
BCBS
| Facility | $67.29 | $90.37 | $130.90 | |
BCBS
| Professional | $33.34 | $33.34 | $35.85 | |
Cigna
| Facility | $22.81 | $22.81 | $93.75 | |
Cigna
| Professional | $15.56 | $24.94 | $60.52 | |
Medica
| Facility | $26.32 | $47.21 | $69.31 | |
Medica
| Professional | $14.74 | $20.05 | $52.64 | |
United
| Facility | $151.63 | $151.63 | $151.63 | |
United
| Professional | $14.74 | $20.05 | $35.09 |