| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.02 | $58.02 | $58.02 | |
Aetna
| Professional | $16.80 | $23.25 | $47.35 | |
Ambetter
| Professional | $40.56 | $40.56 | $54.08 | |
BCBS
| Facility | $14.20 | $51.30 | $92.74 | |
BCBS
| Professional | $35.50 | $47.33 | $62.12 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $26.43 | $62.63 | |
Medica
| Facility | $15.68 | $36.14 | $253.09 | |
Medica
| Professional | $21.93 | $24.28 | $40.61 | |
United
| Professional | $21.95 | $24.28 | $37.15 |