| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.58 | $300.19 | $436.78 | |
Aetna
| Professional | 26 | $27.29 | $177.96 | $705.76 |
Aetna
| Professional | TC | $193.47 | $196.09 | $289.80 |
Ambetter
| Professional | $189.86 | $189.86 | $209.13 | |
Ambetter
| Professional | 26 | $64.53 | $65.12 | $68.17 |
BCBS
| Professional | $141.40 | $401.80 | $551.73 | |
Cigna
| Professional | $158.72 | $235.20 | $721.17 | |
Cigna
| Professional | 26 | $65.73 | $144.38 | $234.79 |
Cigna
| Professional | TC | $92.59 | $150.34 | $489.82 |
Medica
| Professional | $183.39 | $560.97 | $2,755.28 | |
Medica
| Professional | 26 | $89.38 | $245.65 | $895.79 |
Medica
| Professional | TC | $136.75 | $412.50 | $1,859.49 |
United
| Professional | $179.42 | $305.64 | $641.49 | |
United
| Professional | 26 | $89.38 | $137.04 | $729.41 |
United
| Professional | TC | $100.97 | $253.09 | $419.20 |