| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.06 | $46.06 | $57.20 | |
Aetna
| Professional | $43.29 | $53.51 | $71.56 | |
Ambetter
| Professional | $141.69 | $141.69 | $141.69 | |
BCBS
| Facility | $97.08 | $129.44 | $262.56 | |
BCBS
| Professional | $48.97 | $83.48 | $116.98 | |
Cigna
| Professional | $94.77 | $117.97 | $145.82 | |
Medica
| Facility | $45.10 | $58.82 | $108.68 | |
Medica
| Professional | $73.79 | $119.91 | $309.19 | |
Midlands
| Facility | $67.92 | $100.78 | $124.49 | |
Midlands
| Professional | $67.92 | $97.14 | $124.49 | |
Oscar Health
| Professional | $52.77 | $92.00 | $130.84 | |
United
| Professional | $75.02 | $125.23 | $150.83 |