| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $38.02 | $81.28 | |
Aetna
| Professional | $15.14 | $19.05 | $21.88 | |
Ambetter
| Professional | $13.49 | $13.49 | $13.49 | |
BCBS
| Facility | $28.84 | $43.65 | $45.71 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
Cigna
| Facility | $14.45 | $35.48 | $50.12 | |
Cigna
| Professional | $11.48 | $25.70 | $53.70 | |
Medica
| Facility | $19.95 | $19.95 | $45.71 | |
Medica
| Professional | $9.12 | $16.22 | $35.48 | |
United
| Facility | $9.77 | $21.88 | $26.30 | |
United
| Professional | $9.12 | $17.78 | $30.90 |