| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $22.91 | $37.15 | |
Ambetter
| Professional | $19.05 | $22.39 | $23.44 | |
BCBS
| Facility | $21.88 | $21.88 | $21.88 | |
BCBS
| Professional | $18.20 | $23.99 | $26.92 | |
Cigna
| Professional | $19.05 | $25.70 | $50.12 | |
Medica
| Facility | $19.05 | $23.44 | $46.77 | |
Medica
| Professional | $21.38 | $26.92 | $141.25 | |
United
| Professional | $19.50 | $23.44 | $32.36 |