| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $57.54 | $93.33 | |
Ambetter
| Professional | $70.79 | $70.79 | $70.79 | |
BCBS
| Professional | $25.70 | $37.15 | $81.28 | |
Cigna
| Professional | $28.84 | $64.57 | $120.23 | |
Medica
| Facility | $26.30 | $57.54 | $97.72 | |
Medica
| Professional | $67.61 | $95.50 | $537.03 | |
United
| Professional | $28.84 | $63.10 | $97.72 |