| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.97 | $48.97 | $72.17 | |
Aetna
| Professional | $47.16 | $48.96 | $60.49 | |
Ambetter
| Professional | $82.86 | $82.86 | $82.86 | |
BCBS
| Professional | $90.69 | $90.69 | $90.69 | |
Cigna
| Facility | $68.22 | $68.22 | $73.06 | |
Cigna
| Professional | $49.80 | $68.22 | $73.06 | |
Medica
| Facility | $32.44 | $64.20 | $535.05 | |
Medica
| Professional | $33.50 | $50.24 | $102.44 | |
United
| Professional | $33.50 | $49.79 | $72.08 |