| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.32 | $48.71 | $75.31 | |
Ambetter
| Professional | $47.57 | $65.94 | $80.26 | |
BCBS
| Facility | $48.48 | $191.50 | $317.18 | |
BCBS
| Professional | $33.71 | $44.95 | $55.05 | |
Cigna
| Facility | $78.48 | $78.48 | $78.48 | |
Cigna
| Professional | $47.45 | $67.73 | $113.39 | |
Medica
| Facility | $44.31 | $49.73 | $95.73 | |
Medica
| Professional | $45.48 | $61.32 | $310.49 | |
United
| Professional | $45.26 | $54.02 | $105.13 |