| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.54 | $74.20 | $83.39 | |
Aetna
| Professional | $33.40 | $54.63 | $83.39 | |
Ambetter
| Professional | $67.47 | $75.53 | $102.00 | |
BCBS
| Professional | $111.42 | $111.42 | $111.42 | |
Cigna
| Facility | $68.22 | $68.22 | $68.22 | |
Cigna
| Professional | $49.80 | $68.22 | $168.75 | |
Medica
| Facility | $32.44 | $81.16 | $535.05 | |
Medica
| Professional | $33.50 | $50.24 | $128.66 | |
United
| Professional | $33.50 | $50.24 | $67.29 |