| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.10 | $43.10 | $43.10 | |
Aetna
| Professional | $43.10 | $146.63 | $177.55 | |
Ambetter
| Professional | $157.75 | $157.75 | $157.75 | |
BCBS
| Professional | $50.50 | $55.56 | $56.11 | |
Cigna
| Facility | $52.17 | $83.83 | $83.83 | |
Cigna
| Professional | $52.17 | $82.18 | $158.53 | |
Medica
| Facility | $38.79 | $73.98 | $256.42 | |
Medica
| Professional | $29.56 | $46.63 | $77.70 | |
Midlands
| Facility | $83.83 | $84.23 | $129.55 | |
Midlands
| Professional | $84.23 | $110.70 | $176.31 | |
United
| Professional | $29.56 | $46.63 | $65.68 |