| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.10 | $39.10 | $166.43 | |
Aetna
| Professional | $17.97 | $19.43 | $34.01 | |
Ambetter
| Professional | $34.79 | $36.00 | $36.00 | |
BCBS
| Facility | $30.91 | $30.91 | $37.86 | |
BCBS
| Professional | $13.07 | $16.64 | $21.39 | |
Cigna
| Facility | $54.68 | $54.68 | $54.68 | |
Cigna
| Professional | $21.00 | $29.00 | $107.35 | |
Medica
| Facility | $19.00 | $34.01 | $53.99 | |
Medica
| Professional | $44.95 | $58.00 | $259.38 | |
United
| Professional | $43.50 | $52.20 | $95.96 |