| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.86 | $99.79 | $106.89 | |
Aetna
| Professional | $36.00 | $38.22 | $42.64 | |
Ambetter
| Professional | $32.40 | $32.40 | $45.53 | |
BCBS
| Professional | $38.15 | $48.58 | $56.08 | |
Cigna
| Professional | $35.45 | $52.06 | $63.67 | |
Medica
| Facility | $34.44 | $38.71 | $62.40 | |
Medica
| Professional | $36.20 | $52.20 | $251.44 | |
United
| Professional | $36.20 | $45.59 | $81.47 |