| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.46 | $222.10 | $446.40 | |
Aetna
| Professional | $24.44 | $39.86 | $70.31 | |
Ambetter
| Professional | $26.39 | $26.39 | $26.39 | |
BCBS
| Facility | $163.61 | $223.19 | $533.44 | |
BCBS
| Professional | $32.56 | $38.29 | $59.96 | |
Cigna
| Professional | $12.98 | $34.10 | $58.40 | |
Medica
| Facility | $24.44 | $41.50 | $62.45 | |
Medica
| Professional | $28.44 | $40.28 | $268.44 | |
United
| Professional | $28.44 | $39.38 | $55.21 |