| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.98 | $78.98 | $98.63 | |
Aetna
| Professional | $58.54 | $66.64 | $314.00 | |
Ambetter
| Professional | $93.30 | $109.77 | $109.77 | |
BCBS
| Facility | $38.42 | $138.81 | $250.96 | |
BCBS
| Professional | $96.06 | $128.08 | $174.51 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $143.63 | |
Medica
| Facility | $35.72 | $97.80 | $587.62 | |
Medica
| Professional | $49.98 | $55.35 | $83.38 | |
United
| Professional | $50.03 | $55.35 | $83.38 |