| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $79.43 | $95.50 | |
Ambetter
| Professional | $61.66 | $64.57 | $93.33 | |
Ambetter
| Professional | 25 | $53.70 | $53.70 | $53.70 |
BCBS
| Professional | $79.43 | $81.28 | $109.65 | |
Cigna
| Professional | $50.12 | $77.62 | $158.49 | |
Medica
| Facility | $56.23 | $83.18 | $346.74 | |
Medica
| Professional | $64.57 | $72.44 | $97.72 | |
United
| Professional | $64.57 | $72.44 | $97.72 |