| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $102.33 | $147.91 | |
Aetna
| Professional | $37.15 | $53.70 | $112.20 | |
Ambetter
| Professional | $50.12 | $64.57 | $85.11 | |
BCBS
| Facility | $95.50 | $95.50 | $128.82 | |
BCBS
| Professional | $42.66 | $56.23 | $74.13 | |
Cigna
| Facility | $123.03 | $147.91 | $162.18 | |
Cigna
| Professional | $48.98 | $83.18 | $138.04 | |
Qualchoice
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Facility | $114.82 | $147.91 | $281.84 | |
United
| Professional | $39.81 | $66.07 | $120.23 |