| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.18 | $17.18 | $17.48 | |
Aetna
| Professional | $17.48 | $23.68 | $118.00 | |
Ambetter
| Professional | $29.84 | $41.32 | $43.32 | |
BCBS
| Facility | $328.36 | $424.90 | $666.05 | |
BCBS
| Professional | $17.01 | $28.02 | $38.65 | |
Cigna
| Professional | $35.36 | $40.83 | $48.29 | |
Medica
| Facility | $17.48 | $29.72 | $135.04 | |
Medica
| Professional | $30.54 | $45.41 | $371.24 | |
Midlands
| Facility | $35.35 | $43.72 | $79.51 | |
Midlands
| Professional | $36.24 | $43.72 | $99.87 | |
United
| Facility | $160.46 | $167.69 | $219.04 | |
United
| Professional | $30.54 | $43.14 | $89.70 |