| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.11 | $21.16 | $31.88 | |
Ambetter
| Professional | $22.40 | $25.00 | $31.64 | |
Anthem BCBS
| Professional | $20.39 | $25.27 | $39.93 | |
Anthem BCBS
| Professional | 50 | $30.61 | $37.90 | $59.89 |
Cigna
| Professional | $19.43 | $27.03 | $52.87 | |
Medica
| Facility | $17.11 | $22.22 | $48.20 | |
Medica
| Professional | $20.27 | $28.18 | $140.87 | |
United
| Professional | $19.22 | $25.47 | $34.92 |