| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $19.00 | $24.60 | |
Ambetter
| Professional | $29.65 | $43.37 | $43.37 | |
BCBS
| Professional | $45.50 | $56.87 | $56.87 | |
Cigna
| Professional | $23.00 | $29.82 | $69.00 | |
Medica
| Facility | $16.14 | $19.00 | $37.33 | |
Medica
| Professional | $54.95 | $74.43 | $259.38 | |
United
| Professional | $50.87 | $67.17 | $99.84 |