| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.63 | $228.88 | $850.72 | |
Aetna
| Professional | $39.36 | $74.38 | $95.76 | |
Ambetter
| Professional | $40.00 | $68.66 | $71.52 | |
BCBS
| Facility | $46.04 | $49.43 | $73.23 | |
BCBS
| Professional | $93.70 | $93.70 | $132.47 | |
Cigna
| Facility | $39.72 | $103.39 | $478.56 | |
Cigna
| Professional | $60.16 | $119.63 | $151.91 | |
Medica
| Facility | $52.95 | $99.55 | $350.00 | |
Medica
| Professional | $47.96 | $65.91 | $84.69 | |
United
| Professional | $47.96 | $65.91 | $68.66 |