| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.94 | $22.94 | $22.94 | |
Aetna
| Professional | $17.97 | $19.57 | $85.00 | |
Ambetter
| Professional | $23.54 | $23.54 | $23.55 | |
Anthem BCBS
| Professional | $19.17 | $31.56 | $52.02 | |
Cigna
| Professional | $19.00 | $20.00 | $39.99 | |
Medica
| Facility | $17.97 | $19.57 | $37.04 | |
Medica
| Professional | $33.26 | $51.50 | $185.58 | |
United
| Professional | $30.83 | $45.11 | $77.88 |