| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.72 | $29.44 | $528.00 | |
Aetna
| Professional | $23.81 | $29.11 | $74.72 | |
Ambetter
| Professional | $21.11 | $26.78 | $35.61 | |
Anthem BCBS
| Professional | $24.71 | $32.67 | $53.00 | |
Cigna
| Professional | $24.06 | $34.72 | $59.84 | |
Medica
| Facility | $23.61 | $40.19 | $79.78 | |
Medica
| Professional | $25.76 | $42.68 | $384.71 | |
United
| Professional | $25.20 | $37.28 | $61.46 |