| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.34 | $31.28 | $206.77 | |
Aetna
| Professional | $18.30 | $23.92 | $59.39 | |
Ambetter
| Professional | $13.94 | $19.35 | $22.26 | |
BCBS
| Professional | $26.48 | $31.15 | $68.95 | |
Cigna
| Facility | $125.76 | $276.38 | $377.72 | |
Cigna
| Professional | $18.22 | $32.14 | $96.00 | |
Medica
| Facility | $18.30 | $30.45 | $81.54 | |
Medica
| Professional | $24.42 | $68.34 | $371.24 | |
United
| Facility | $144.56 | $144.56 | $239.97 | |
United
| Professional | $19.85 | $47.96 | $83.38 |