| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $371.54 | $794.33 | |
Ambetter
| Professional | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $20.42 | $25.12 | $51.29 | |
Cigna
| Professional | $18.20 | $30.90 | $75.86 | |
Medica
| Facility | $14.79 | $28.18 | $58.88 | |
Medica
| Professional | $13.49 | $33.88 | $478.63 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $13.49 | $24.55 | $43.65 |