| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.00 | $14.00 | $18.10 | |
Ambetter
| Professional | $25.35 | $37.13 | $37.13 | |
BCBS
| Professional | $27.90 | $39.06 | $39.06 | |
Cigna
| Professional | $12.00 | $17.36 | $69.00 | |
Medica
| Facility | $11.94 | $14.00 | $31.92 | |
Medica
| Professional | $46.99 | $63.67 | $222.35 | |
United
| Professional | $42.51 | $56.83 | $98.50 |