| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.64 | $238.94 | $260.54 | |
Aetna
| Professional | $17.11 | $21.58 | $63.53 | |
Ambetter
| Professional | $16.05 | $16.05 | $25.92 | |
BCBS
| Facility | $22.52 | $88.95 | $147.34 | |
BCBS
| Professional | $12.76 | $17.01 | $20.88 | |
Cigna
| Facility | $29.80 | $29.80 | $526.61 | |
Cigna
| Professional | $18.23 | $31.70 | $72.92 | |
Medica
| Facility | $16.75 | $20.36 | $51.36 | |
Medica
| Professional | $19.80 | $54.60 | $371.24 | |
United
| Professional | $17.60 | $45.50 | $73.84 |