| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $19.00 | $24.60 | |
Ambetter
| Professional | $19.70 | $31.06 | $31.06 | |
BCBS
| Professional | $39.00 | $48.75 | $48.75 | |
Cigna
| Professional | $20.00 | $23.00 | $33.75 | |
Medica
| Facility | $16.14 | $19.00 | $24.60 | |
Medica
| Professional | $39.40 | $53.38 | $185.58 | |
United
| Professional | $36.40 | $45.63 | $71.63 |