| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $87.10 | $208.93 | |
Aetna
| Professional | $7.94 | $16.22 | $42.66 | |
Ambetter
| Professional | $5.37 | $7.24 | $26.92 | |
BCBS
| Facility | $40.74 | $64.57 | $147.91 | |
BCBS
| Professional | $10.00 | $19.05 | $20.89 | |
Cigna
| Professional | $6.46 | $23.99 | $30.20 | |
Medica
| Facility | $15.14 | $151.36 | $263.03 | |
Medica
| Professional | $5.25 | $7.59 | $13.80 | |
United
| Facility | $5.62 | $11.22 | $20.42 | |
United
| Professional | $5.75 | $7.59 | $13.80 |