| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.70 | $51.16 | $92.41 | |
Aetna
| Professional | $37.70 | $51.16 | $102.79 | |
Ambetter
| Professional | $64.55 | $64.55 | $64.55 | |
BCBS
| Facility | $60.59 | $82.17 | $119.03 | |
BCBS
| Professional | $39.90 | $54.79 | $74.01 | |
Cigna
| Facility | $100.70 | $104.99 | $347.93 | |
Cigna
| Professional | $42.52 | $73.77 | $154.11 | |
Medica
| Facility | $38.08 | $59.07 | $149.01 | |
Medica
| Professional | $50.87 | $111.40 | $693.25 | |
United
| Professional | $49.70 | $68.05 | $126.72 |