| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.82 | $122.54 | $383.33 | |
Aetna
| Professional | $26.63 | $62.35 | $95.76 | |
Ambetter
| Professional | $30.90 | $31.47 | $71.52 | |
BCBS
| Facility | $170.46 | $193.85 | $256.11 | |
BCBS
| Professional | $51.49 | $51.49 | $80.09 | |
Cigna
| Facility | $39.72 | $90.45 | $300.69 | |
Cigna
| Professional | $38.36 | $109.60 | $149.53 | |
Medcost
| Facility | $75.94 | $95.76 | $109.85 | |
Medcost
| Professional | $59.96 | $79.94 | $79.94 | |
United
| Professional | $39.97 | $48.06 | $114.43 | |
Wellcare
| Facility | $183.09 | $543.54 | $543.54 |