| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $25.70 | $30.90 | |
Aetna
| Professional | $21.88 | $28.18 | $107.15 | |
Ambetter
| Professional | $21.88 | $23.44 | $27.54 | |
BCBS
| Professional | $23.99 | $30.20 | $38.90 | |
Cigna
| Professional | $25.70 | $35.48 | $46.77 | |
Medica
| Facility | $19.05 | $26.92 | $44.67 | |
Medica
| Professional | $21.88 | $29.51 | $389.05 | |
United
| Professional | $21.38 | $26.30 | $38.02 |