| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $41.69 | |
Aetna
| Professional | $30.20 | $40.74 | $56.23 | |
Ambetter
| Professional | $39.81 | $39.81 | $39.81 | |
BCBS
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $56.23 | $81.28 | $102.33 | |
Medica
| Facility | $38.90 | $46.77 | $223.87 | |
Medica
| Professional | $46.77 | $57.54 | $81.28 | |
United
| Professional | $47.86 | $58.88 | $81.28 |