| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $52.48 | $251.19 | |
Aetna
| Professional | $32.36 | $48.98 | $83.18 | |
Ambetter
| Professional | $53.70 | $53.70 | $53.70 | |
BCBS
| Facility | $44.67 | $58.88 | $213.80 | |
BCBS
| Professional | $33.11 | $53.70 | $87.10 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Medica
| Facility | $35.48 | $57.54 | $100.00 | |
Medica
| Professional | $57.54 | $89.13 | $407.38 | |
United
| Facility | $33.11 | $44.67 | $56.23 | |
United
| Professional | $39.81 | $60.26 | $104.71 |