| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $14.95 | $19.47 | |
Ambetter
| Professional | $22.39 | $22.39 | $22.64 | |
BCBS
| Professional | $17.35 | $17.35 | $17.35 | |
Cigna
| Professional | $12.00 | $20.89 | $37.01 | |
Medica
| Facility | $12.03 | $14.95 | $31.98 | |
Medica
| Professional | $30.68 | $49.00 | $178.47 | |
United
| Professional | $29.95 | $37.89 | $70.01 |