| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.67 | $45.67 | $46.60 | |
Aetna
| Professional | $40.90 | $48.63 | $74.40 | |
Ambetter
| Professional | $109.06 | $109.06 | $109.06 | |
BCBS
| Facility | $328.36 | $424.90 | $666.05 | |
BCBS
| Professional | $45.21 | $74.98 | $102.77 | |
Cigna
| Professional | $95.02 | $108.07 | $127.45 | |
Medica
| Facility | $45.67 | $77.18 | $128.27 | |
Medica
| Professional | $80.56 | $105.19 | $310.49 | |
Midlands
| Facility | $93.54 | $113.98 | $129.19 | |
Midlands
| Professional | $93.54 | $108.07 | $132.94 | |
United
| Professional | $78.13 | $105.19 | $122.28 |