| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $45.71 | $79.43 | |
Ambetter
| Professional | $35.48 | $35.48 | $70.79 | |
BCBS
| Facility | $33.11 | $107.15 | $158.49 | |
BCBS
| Professional | $30.90 | $51.29 | $107.15 | |
Cigna
| Professional | $34.67 | $56.23 | $107.15 | |
Medica
| Facility | $33.11 | $54.95 | $95.50 | |
Medica
| Professional | $42.66 | $66.07 | $512.86 | |
United
| Professional | $30.90 | $46.77 | $87.10 |