| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.47 | $63.10 | $84.14 | |
Aetna
| Professional | $65.50 | $85.02 | $112.35 | |
Ambetter
| Professional | $75.66 | $83.26 | $92.02 | |
BCBS
| Facility | $92.39 | $92.39 | $113.18 | |
BCBS
| Professional | $52.18 | $71.98 | $89.97 | |
Cigna
| Facility | $130.25 | $130.25 | $130.25 | |
Cigna
| Professional | $69.00 | $98.00 | $160.19 | |
Medica
| Facility | $72.63 | $92.24 | $147.44 | |
Medica
| Professional | $83.84 | $110.19 | $590.30 | |
United
| Professional | $82.35 | $94.32 | $155.38 |