| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.54 | $38.25 | $169.85 | |
Aetna
| Professional | $8.64 | $10.86 | $21.58 | |
Ambetter
| Professional | $7.19 | $7.19 | $7.19 | |
BCBS
| Facility | $32.90 | $36.93 | $54.70 | |
BCBS
| Professional | $19.85 | $19.85 | $20.37 | |
Cigna
| Facility | $7.88 | $15.41 | $67.12 | |
Cigna
| Professional | $7.30 | $17.04 | $41.00 | |
Medica
| Facility | $10.87 | $10.87 | $25.98 | |
Medica
| Professional | $5.03 | $8.86 | $24.44 | |
United
| Professional | $5.03 | $7.19 | $24.93 |