| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.71 | $59.71 | $59.71 | |
Aetna
| Professional | $22.06 | $28.82 | $59.71 | |
Ambetter
| Professional | $36.24 | $40.56 | $40.56 | |
BCBS
| Facility | $43.03 | $45.29 | $48.18 | |
BCBS
| Professional | $47.55 | $47.55 | $47.55 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $35.59 | $78.28 | |
Medica
| Facility | $28.82 | $54.08 | $253.09 | |
Medica
| Professional | $16.18 | $26.98 | $74.05 | |
United
| Professional | $17.64 | $26.98 | $39.20 |