| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.39 | $112.39 | $123.84 | |
Aetna
| Professional | $48.46 | $87.73 | $123.84 | |
Ambetter
| Professional | $80.34 | $112.16 | $128.97 | |
BCBS
| Facility | $116.76 | $122.90 | $130.72 | |
BCBS
| Professional | $129.05 | $129.05 | $129.05 | |
Cigna
| Facility | $96.73 | $96.73 | $96.73 | |
Cigna
| Professional | $70.61 | $96.73 | $247.97 | |
Medica
| Facility | $47.05 | $120.53 | $766.63 | |
Medica
| Professional | $48.58 | $74.61 | $191.06 | |
United
| Professional | $49.35 | $74.61 | $99.93 |