| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $257.04 | $389.05 | |
Aetna
| Professional | $75.86 | $100.00 | $147.91 | |
Ambetter
| Professional | $35.48 | $70.79 | $141.25 | |
BCBS
| Facility | $64.57 | $93.33 | $131.83 | |
BCBS
| Professional | $134.90 | $134.90 | $134.90 | |
Cigna
| Facility | $93.33 | $114.82 | $208.93 | |
Cigna
| Professional | $75.86 | $128.82 | $234.42 | |
Medica
| Facility | $109.65 | $190.55 | $251.19 | |
Medica
| Professional | $60.26 | $74.13 | $213.80 | |
United
| Facility | $60.26 | $141.25 | $169.82 | |
United
| Professional | $60.26 | $74.13 | $104.71 |