| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $275.42 | $426.58 | |
Aetna
| Professional | $100.00 | $138.04 | $870.96 | |
Ambetter
| Professional | $28.84 | $74.13 | $186.21 | |
BCBS
| Facility | $151.36 | $229.09 | $239.88 | |
BCBS
| Professional | $162.18 | $162.18 | $162.18 | |
Cigna
| Facility | $114.82 | $257.04 | $707.95 | |
Cigna
| Professional | $79.43 | $134.90 | $269.15 | |
Medica
| Facility | $114.82 | $173.78 | $245.47 | |
Medica
| Professional | $60.26 | $104.71 | $707.95 | |
United
| Facility | $74.13 | $141.25 | $169.82 | |
United
| Professional | $60.26 | $85.11 | $186.21 |