| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $47.86 | $47.86 | |
Aetna
| Professional | $28.18 | $37.15 | $48.98 | |
Ambetter
| Professional | $50.12 | $52.48 | $69.18 | |
BCBS
| Facility | $52.48 | $52.48 | $52.48 | |
BCBS
| Professional | $50.12 | $52.48 | $54.95 | |
Cigna
| Professional | $35.48 | $51.29 | $97.72 | |
Health Alliance Plan
| Facility | $36.31 | $117.49 | $138.04 | |
Health Alliance Plan
| Professional | $30.20 | $41.69 | $61.66 | |
Priority Health
| Professional | $35.48 | $52.48 | $95.50 | |
United
| Professional | $37.15 | $50.12 | $66.07 |