| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.75 | $84.75 | $93.38 | |
Aetna
| Professional | $36.79 | $61.18 | $93.38 | |
Ambetter
| Professional | $84.57 | $84.57 | $84.57 | |
BCBS
| Facility | $98.37 | $103.87 | $113.84 | |
BCBS
| Professional | $107.60 | $107.60 | $107.60 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $88.85 | $179.53 | |
Medica
| Facility | $35.72 | $90.89 | $587.62 | |
Medica
| Professional | $36.90 | $56.26 | $144.08 | |
United
| Professional | $36.90 | $56.26 | $78.66 |