| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $91.20 | $131.83 | |
Aetna
| Professional | $39.81 | $50.12 | $61.66 | |
Ambetter
| Professional | $61.66 | $61.66 | $61.66 | |
BCBS
| Facility | $95.50 | $125.89 | $245.47 | |
BCBS
| Professional | $50.12 | $83.18 | $114.82 | |
Cigna
| Professional | $97.72 | $112.20 | $141.25 | |
Medica
| Facility | $43.65 | $53.70 | $97.72 | |
Medica
| Professional | $72.44 | $114.82 | $380.19 | |
Midlands
| Professional | $87.10 | $112.20 | $141.25 | |
Midlands
| Professional | $112.20 | $112.20 | $134.90 | |
United
| Professional | $64.57 | $104.71 | $147.91 |