| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $18.11 | $18.11 | |
Aetna
| Professional | $14.51 | $15.55 | $460.00 | |
Ambetter
| Professional | $11.75 | $11.75 | $11.75 | |
Anthem BCBS
| Professional | $10.05 | $30.86 | $51.47 | |
Cigna
| Professional | $10.00 | $10.00 | $37.01 | |
Medica
| Facility | $13.88 | $15.30 | $30.00 | |
Medica
| Professional | $32.00 | $49.42 | $178.47 | |
United
| Professional | $28.66 | $43.08 | $74.92 |