| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.62 | $51.97 | $69.30 | |
Aetna
| Professional | $54.74 | $73.31 | $99.31 | |
Ambetter
| Professional | $63.36 | $68.58 | $81.33 | |
BCBS
| Facility | $74.86 | $74.86 | $91.70 | |
BCBS
| Professional | $43.63 | $60.12 | $75.23 | |
Cigna
| Facility | $109.78 | $109.78 | $109.78 | |
Cigna
| Professional | $59.00 | $84.00 | $139.22 | |
Medica
| Facility | $60.82 | $76.11 | $123.44 | |
Medica
| Professional | $72.14 | $93.98 | $491.49 | |
United
| Professional | $71.70 | $85.84 | $158.16 |