| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $47.86 | $354.81 | |
Aetna
| Professional | $21.38 | $38.90 | $79.43 | |
Ambetter
| Professional | $18.62 | $34.67 | $44.67 | |
BCBS
| Facility | $177.83 | $177.83 | $245.47 | |
BCBS
| Professional | $33.11 | $33.11 | $57.54 | |
Cigna
| Facility | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $13.80 | $25.70 | $44.67 | |
Qualchoice
| Professional | $37.15 | $46.77 | $72.44 | |
United
| Facility | $245.47 | $316.23 | $602.56 | |
United
| Professional | $22.91 | $32.36 | $41.69 |