| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.47 | $78.36 | $138.63 | |
Ambetter
| Professional | $115.26 | $115.26 | $130.63 | |
BCBS
| Facility | $40.34 | $145.74 | $263.50 | |
BCBS
| Professional | $100.87 | $134.49 | $176.52 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $182.63 | |
Medica
| Facility | $45.29 | $107.10 | $734.34 | |
Medica
| Professional | $63.35 | $70.16 | $105.69 | |
United
| Professional | $63.35 | $70.16 | $105.69 |