| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $308.91 | $394.19 | $444.28 | |
Aetna
| Professional | 26 | $119.71 | $137.36 | $186.39 |
Aetna
| Professional | TC | $196.09 | $247.82 | $327.47 |
Ambetter
| Professional | $191.93 | $191.93 | $199.28 | |
Ambetter
| Professional | 26 | $64.53 | $65.59 | $219.35 |
BCBS
| Professional | $463.44 | $595.69 | $595.69 | |
Cigna
| Professional | $205.61 | $426.06 | $849.46 | |
Cigna
| Professional | 26 | $74.59 | $191.65 | $279.97 |
Cigna
| Professional | TC | $149.02 | $281.49 | $569.49 |
Medica
| Professional | $269.97 | $551.07 | $2,755.28 | |
Medica
| Professional | 26 | $125.12 | $210.40 | $895.79 |
Medica
| Professional | TC | $165.00 | $356.79 | $1,859.49 |
United
| Professional | $256.60 | $414.34 | $567.19 | |
United
| Professional | 26 | $91.60 | $150.58 | $213.72 |
United
| Professional | TC | $165.00 | $263.76 | $357.50 |