| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.26 | $58.69 | $145.99 | |
Aetna
| Professional | $36.03 | $64.67 | $285.05 | |
Ambetter
| Professional | $27.35 | $35.90 | $47.87 | |
BCBS
| Facility | $74.39 | $295.43 | $486.71 | |
BCBS
| Professional | $26.89 | $35.85 | $38.97 | |
Cigna
| Professional | $36.75 | $66.65 | $107.54 | |
Medica
| Facility | $33.50 | $38.53 | $94.22 | |
Medica
| Professional | $35.97 | $64.81 | $568.04 | |
United
| Professional | $33.79 | $59.95 | $88.32 |