| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.88 | $187.91 | $584.10 | |
Aetna
| Professional | $85.59 | $101.78 | $128.40 | |
Ambetter
| Professional | $39.15 | $78.30 | $93.95 | |
BCBS
| Facility | $71.40 | $95.51 | $140.26 | |
BCBS
| Professional | $148.76 | $148.76 | $148.76 | |
Cigna
| Facility | $61.12 | $102.92 | $156.54 | |
Cigna
| Professional | $59.04 | $82.33 | $204.38 | |
Medica
| Facility | $114.04 | $134.66 | $743.80 | |
Medica
| Professional | $51.66 | $65.77 | $156.59 | |
United
| Professional | $51.66 | $65.77 | $93.95 |