| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.54 | $44.37 | $68.72 | |
Ambetter
| Professional | $40.95 | $40.95 | $75.08 | |
BCBS
| Facility | $40.84 | $161.32 | $267.20 | |
BCBS
| Professional | $30.58 | $38.04 | $47.83 | |
Cigna
| Facility | $62.65 | $62.65 | $399.05 | |
Cigna
| Professional | $38.25 | $58.14 | $109.35 | |
Medica
| Facility | $36.00 | $46.79 | $89.23 | |
Medica
| Professional | $47.26 | $64.95 | $477.31 | |
United
| Professional | $44.64 | $54.95 | $107.06 |