| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.89 | $59.16 | $78.88 | |
Aetna
| Professional | $62.63 | $80.72 | $107.26 | |
Ambetter
| Professional | $69.84 | $73.95 | $81.73 | |
BCBS
| Facility | $80.06 | $80.06 | $98.07 | |
BCBS
| Professional | $50.56 | $69.70 | $87.17 | |
Cigna
| Facility | $124.93 | $124.93 | $124.93 | |
Cigna
| Professional | $66.00 | $91.00 | $152.47 | |
Medica
| Facility | $69.19 | $86.48 | $140.46 | |
Medica
| Professional | $78.67 | $104.00 | $555.30 | |
United
| Professional | $75.00 | $88.82 | $145.99 |