| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $19.00 | $24.60 | |
Ambetter
| Professional | $20.12 | $29.86 | $29.86 | |
BCBS
| Professional | $30.00 | $36.43 | $42.86 | |
Cigna
| Professional | $21.00 | $25.00 | $33.75 | |
Medica
| Facility | $16.14 | $19.00 | $25.34 | |
Medica
| Professional | $37.89 | $51.34 | $178.47 | |
United
| Professional | $35.00 | $45.63 | $68.89 |