| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.69 | $276.00 | $886.18 | |
Aetna
| Professional | $85.59 | $104.54 | $146.41 | |
Ambetter
| Professional | $93.95 | $97.87 | $97.87 | |
BCBS
| Facility | $87.59 | $343.91 | $573.07 | |
BCBS
| Professional | $90.70 | $131.91 | $187.99 | |
Cigna
| Facility | $100.62 | $220.86 | $458.01 | |
Cigna
| Professional | $82.33 | $82.33 | $216.56 | |
Medica
| Facility | $114.04 | $134.66 | $743.80 | |
Medica
| Professional | $51.66 | $65.77 | $93.95 | |
United
| Professional | $51.66 | $65.77 | $93.95 |