| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.23 | $69.23 | $76.34 | |
Aetna
| Professional | $61.25 | $70.63 | $81.56 | |
Ambetter
| Professional | $184.38 | $184.38 | $184.38 | |
BCBS
| Facility | $97.08 | $129.44 | $262.56 | |
BCBS
| Professional | $70.01 | $119.34 | $159.34 | |
Cigna
| Professional | $141.60 | $156.65 | $195.07 | |
Medica
| Facility | $64.31 | $82.16 | $141.25 | |
Medica
| Professional | $97.85 | $159.00 | $462.92 | |
Midlands
| Facility | $101.40 | $145.69 | $186.72 | |
Midlands
| Professional | $101.40 | $145.69 | $186.72 | |
Oscar Health
| Professional | $79.16 | $138.03 | $170.26 | |
United
| Professional | $99.48 | $159.00 | $200.34 |