| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.82 | $172.56 | $274.63 | |
Aetna
| Professional | $35.54 | $74.38 | $95.76 | |
Ambetter
| Professional | $28.61 | $68.66 | $71.52 | |
BCBS
| Facility | $76.66 | $105.71 | $140.26 | |
BCBS
| Professional | $108.71 | $108.71 | $108.71 | |
Cigna
| Facility | $39.72 | $74.38 | $148.08 | |
Cigna
| Professional | $38.36 | $60.16 | $149.53 | |
Medica
| Facility | $94.40 | $107.56 | $543.54 | |
Medica
| Professional | $33.57 | $48.06 | $114.43 | |
United
| Professional | $33.57 | $48.06 | $68.66 |