| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.50 | $30.99 | $36.57 | |
Aetna
| Professional | $24.50 | $30.25 | $107.95 | |
Ambetter
| Professional | $27.09 | $31.97 | $36.57 | |
BCBS
| Professional | $29.40 | $39.53 | $41.66 | |
Cigna
| Facility | $33.63 | $33.63 | $34.54 | |
Cigna
| Professional | $29.44 | $41.71 | $61.10 | |
Medica
| Facility | $22.13 | $28.51 | $62.18 | |
Medica
| Professional | $26.66 | $35.22 | $73.04 | |
United
| Professional | $26.33 | $33.17 | $53.00 |