| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.48 | $264.02 | $560.40 | |
Aetna
| Professional | $26.34 | $40.03 | $70.39 | |
Ambetter
| Professional | $25.61 | $25.61 | $41.93 | |
BCBS
| Facility | $46.50 | $180.73 | $286.30 | |
BCBS
| Professional | $19.98 | $26.93 | $45.53 | |
Cigna
| Professional | $22.52 | $33.93 | $55.22 | |
Medica
| Facility | $25.36 | $41.79 | $62.90 | |
Medica
| Facility | AS | $11.96 | $11.96 | $11.96 |
Medica
| Professional | $34.77 | $49.53 | $187.85 | |
United
| Professional | $34.10 | $46.31 | $52.69 |