| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $52.48 | $134.90 | |
Aetna
| Professional | $16.98 | $21.38 | $33.88 | |
Ambetter
| Professional | $4.79 | $12.02 | $28.84 | |
BCBS
| Facility | $38.02 | $57.54 | $60.26 | |
BCBS
| Professional | $30.90 | $30.90 | $30.90 | |
Cigna
| Facility | $16.60 | $30.20 | $54.95 | |
Cigna
| Professional | $12.59 | $28.18 | $46.77 | |
Medica
| Facility | $19.95 | $19.95 | $46.77 | |
Medica
| Professional | $10.00 | $14.45 | $33.88 | |
United
| Facility | $12.02 | $23.99 | $28.84 | |
United
| Professional | $10.00 | $18.20 | $33.88 |