| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.59 | $85.68 | $111.40 | |
Aetna
| Professional | $87.24 | $108.89 | $141.63 | |
Ambetter
| Professional | $98.63 | $104.44 | $160.13 | |
BCBS
| Facility | $105.11 | $105.11 | $128.76 | |
BCBS
| Professional | $73.79 | $98.56 | $126.72 | |
Cigna
| Facility | $180.92 | $180.92 | $180.92 | |
Cigna
| Professional | $90.00 | $119.00 | $197.34 | |
Medica
| Facility | $100.81 | $118.96 | $195.18 | |
Medica
| Professional | $104.78 | $138.35 | $747.63 | |
United
| Professional | $102.78 | $120.30 | $202.49 |