| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.33 | $37.92 | $105.84 | |
Ambetter
| Professional | $42.13 | $42.13 | $42.13 | |
BCBS
| Facility | $28.22 | $112.08 | $184.66 | |
BCBS
| Professional | $21.17 | $28.22 | $64.42 | |
Cigna
| Professional | $14.86 | $14.86 | $60.94 | |
Medica
| Facility | $35.28 | $40.47 | $54.23 |