| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.33 | $45.02 | $63.47 | |
Aetna
| Professional | $23.80 | $30.69 | $200.74 | |
Ambetter
| Professional | $31.68 | $35.02 | $45.02 | |
BCBS
| Professional | $36.40 | $48.94 | $60.97 | |
Cigna
| Facility | $62.42 | $62.42 | $65.97 | |
Cigna
| Professional | $36.54 | $60.63 | $110.56 | |
Medica
| Facility | $27.39 | $36.40 | $97.65 | |
Medica
| Professional | $32.69 | $50.16 | $130.41 | |
United
| Professional | $32.65 | $49.95 | $88.32 |