| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.14 | $65.51 | $118.25 | |
Aetna
| Professional | $12.76 | $20.48 | $27.69 | |
Ambetter
| Professional | $14.45 | $16.72 | $42.14 | |
BCBS
| Facility | $34.02 | $40.15 | $59.87 | |
BCBS
| Professional | $21.78 | $30.99 | $30.99 | |
Cigna
| Facility | $16.64 | $25.35 | $134.24 | |
Cigna
| Professional | $14.75 | $34.59 | $47.00 | |
Medica
| Facility | $20.04 | $20.04 | $46.68 | |
Medica
| Professional | $12.04 | $14.45 | $49.12 | |
United
| Professional | $10.11 | $14.45 | $50.11 |