| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.63 | $80.86 | $120.00 | |
Aetna
| Professional | $12.76 | $20.48 | $29.00 | |
Ambetter
| Professional | $12.04 | $14.45 | $16.72 | |
BCBS
| Facility | $10.62 | $37.89 | $69.39 | |
BCBS
| Professional | $11.00 | $16.00 | $22.80 | |
Cigna
| Facility | $16.64 | $39.13 | $70.43 | |
Cigna
| Professional | $16.14 | $29.32 | $36.65 | |
Medica
| Facility | $19.26 | $20.04 | $114.38 | |
Medica
| Professional | $10.11 | $14.33 | $21.83 | |
United
| Professional | $10.11 | $14.33 | $19.26 |