| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $33.88 | $66.07 | |
Aetna
| Professional | $15.85 | $20.89 | $33.11 | |
Ambetter
| Professional | $10.00 | $22.91 | $29.51 | |
BCBS
| Facility | $43.65 | $45.71 | $47.86 | |
BCBS
| Professional | $43.65 | $43.65 | $43.65 | |
Cigna
| Facility | $24.55 | $24.55 | $24.55 | |
Cigna
| Professional | $18.20 | $18.20 | $44.67 | |
Medica
| Facility | $11.48 | $28.84 | $91.20 | |
Medica
| Professional | $11.48 | $19.05 | $194.98 | |
United
| Facility | $13.18 | $30.20 | $30.20 | |
United
| Professional | $12.59 | $18.62 | $27.54 |