| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $457.09 | $616.60 | |
Aetna
| Professional | $95.50 | $138.04 | $630.96 | |
Ambetter
| Professional | $70.79 | $70.79 | $141.25 | |
BCBS
| Facility | $79.43 | $208.93 | $389.05 | |
BCBS
| Professional | $120.23 | $125.89 | $239.88 | |
Cigna
| Facility | $70.79 | $117.49 | $467.74 | |
Cigna
| Professional | $64.57 | $128.82 | $239.88 | |
Medica
| Facility | $104.71 | $158.49 | $323.59 | |
Medica
| Professional | $60.26 | $74.13 | $707.95 | |
United
| Facility | $128.82 | $141.25 | $169.82 | |
United
| Professional | $60.26 | $74.13 | $85.11 |