| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $21.88 | $107.15 | |
Aetna
| Professional | $7.94 | $12.59 | $40.74 | |
Ambetter
| Professional | $5.37 | $12.59 | $17.78 | |
Anthem BCBS
| Facility | $12.59 | $12.59 | $43.65 | |
Anthem BCBS
| Professional | $5.37 | $9.33 | $28.84 | |
BCBS
| Facility | $20.42 | $21.38 | $38.02 | |
Cigna
| Facility | $14.13 | $23.99 | $61.66 | |
Cigna
| Professional | $6.46 | $12.59 | $18.20 | |
Medica
| Facility | $10.96 | $22.39 | $186.21 | |
Medica
| Professional | $5.25 | $7.59 | $14.13 | |
United
| Facility | $6.31 | $12.59 | $15.14 | |
United
| Professional | $5.25 | $7.59 | $15.14 |