| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.12 | $66.65 | $88.87 | |
Aetna
| Professional | $65.44 | $88.90 | $118.87 | |
Ambetter
| Professional | $83.31 | $92.57 | $127.75 | |
BCBS
| Facility | $79.04 | $79.04 | $96.82 | |
BCBS
| Professional | $49.85 | $68.76 | $93.77 | |
Cigna
| Facility | $125.42 | $125.42 | $125.42 | |
Cigna
| Professional | $73.00 | $102.00 | $160.28 | |
Medica
| Facility | $69.48 | $92.57 | $145.06 | |
Medica
| Professional | $88.04 | $116.03 | $633.97 | |
United
| Professional | $87.73 | $101.88 | $169.80 |