| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $134.90 | $181.97 | |
Aetna
| Professional | $60.26 | $72.44 | $83.18 | |
Ambetter
| Professional | $75.86 | $75.86 | $204.17 | |
BCBS
| Facility | $95.50 | $125.89 | $245.47 | |
BCBS
| Professional | $70.79 | $117.49 | $158.49 | |
Cigna
| Professional | $138.04 | $162.18 | $194.98 | |
Medica
| Facility | $64.57 | $81.28 | $134.90 | |
Medica
| Professional | $100.00 | $158.49 | $512.86 | |
Midlands
| Professional | $112.20 | $154.88 | $194.98 | |
Midlands
| Professional | $158.49 | $165.96 | $186.21 | |
United
| Professional | $93.33 | $147.91 | $199.53 |