| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $45.71 | |
Aetna
| Professional | $25.70 | $37.15 | $77.62 | |
Aetna
| Professional | 25 | $37.15 | $37.15 | $51.29 |
Ambetter
| Professional | $37.15 | $44.67 | $54.95 | |
Ambetter
| Professional | 25 | $44.67 | $44.67 | $44.67 |
BCBS
| Facility | $26.92 | $79.43 | $128.82 | |
BCBS
| Professional | $21.38 | $32.36 | $57.54 | |
Cigna
| Professional | $28.18 | $39.81 | $64.57 | |
Medica
| Facility | $26.92 | $38.02 | $74.13 | |
Medica
| Professional | $36.31 | $53.70 | $302.00 | |
United
| Facility | $35.48 | $48.98 | $69.18 | |
United
| Professional | $26.92 | $37.15 | $64.57 |