| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.71 | $59.71 | $59.71 | |
Aetna
| Professional | $15.68 | $28.82 | $59.71 | |
Ambetter
| Professional | $37.86 | $40.56 | $40.56 | |
BCBS
| Facility | $46.28 | $50.62 | $53.55 | |
BCBS
| Professional | $48.09 | $48.09 | $48.09 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $36.21 | $78.28 | |
Medica
| Facility | $15.68 | $46.64 | $253.09 | |
Medica
| Professional | $16.18 | $28.91 | $69.11 | |
United
| Professional | $16.18 | $26.98 | $41.58 |