| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $71.29 | $87.73 | $243.91 | |
Ambetter
| Professional | $133.66 | $133.66 | $160.40 | |
BCBS
| Facility | $46.79 | $169.04 | $305.61 | |
BCBS
| Professional | $126.72 | $155.96 | $194.95 | |
Cigna
| Facility | $96.73 | $96.73 | $96.73 | |
Cigna
| Professional | $70.61 | $70.61 | $198.38 | |
Medica
| Facility | $47.05 | $124.20 | $766.63 | |
Medica
| Professional | $65.80 | $72.88 | $109.78 | |
United
| Professional | $65.87 | $72.88 | $109.78 |