| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.63 | $47.40 | $117.91 | |
Aetna
| Professional | $29.37 | $34.82 | $150.00 | |
Ambetter
| Professional | $22.22 | $26.38 | $38.88 | |
BCBS
| Facility | $41.20 | $163.62 | $269.55 | |
BCBS
| Professional | $21.83 | $29.11 | $31.66 | |
Cigna
| Professional | $28.86 | $42.30 | $68.84 | |
Medica
| Facility | $27.21 | $30.69 | $67.88 | |
Medica
| Professional | $28.13 | $37.15 | $324.60 | |
United
| Professional | $28.13 | $34.56 | $62.30 |