| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.47 | $31.62 | $70.79 | |
Aetna
| Professional | 25 | $12.30 | $36.31 | $141.25 |
Ambetter
| Professional | $15.49 | $19.05 | $27.54 | |
BCBS
| Professional | $18.62 | $37.15 | $89.13 | |
Cigna
| Professional | $18.62 | $19.95 | $37.15 | |
Medica
| Professional | $14.45 | $21.38 | $31.62 | |
United
| Professional | $14.45 | $21.38 | $31.62 |