| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $44.67 | $891.25 | |
Aetna
| Professional | $36.31 | $47.86 | $141.25 | |
Ambetter
| Professional | $33.11 | $35.48 | $39.81 | |
BCBS
| Facility | $239.88 | $354.81 | $467.74 | |
BCBS
| Professional | $38.02 | $54.95 | $81.28 | |
Cigna
| Facility | $100.00 | $100.00 | $346.74 | |
Cigna
| Professional | $44.67 | $67.61 | $87.10 | |
Medica
| Facility | $37.15 | $56.23 | $870.96 | |
Medica
| Professional | $47.86 | $61.66 | $309.03 | |
United
| Facility | $138.04 | $616.60 | $1,659.59 | |
United
| Professional | $41.69 | $53.70 | $81.28 |