| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.08 | $81.08 | $90.30 | |
Aetna
| Professional | $38.36 | $57.60 | $81.08 | |
Ambetter
| Professional | $50.00 | $73.43 | $73.43 | |
BCBS
| Facility | $105.34 | $114.93 | $121.91 | |
BCBS
| Professional | $114.08 | $114.08 | $114.08 | |
Cigna
| Facility | $59.92 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $43.74 | $153.28 | |
Medica
| Facility | $30.89 | $78.92 | $474.60 | |
Medica
| Professional | $28.38 | $48.85 | $125.10 | |
United
| Professional | $28.38 | $47.84 | $62.55 |