| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.10 | $33.10 | $45.91 | |
Aetna
| Professional | $25.09 | $36.15 | $73.81 | |
Aetna
| Professional | 25 | $37.21 | $37.21 | $51.58 |
Ambetter
| Professional | $38.40 | $38.40 | $38.40 | |
BCBS
| Facility | $26.72 | $99.77 | $174.82 | |
BCBS
| Professional | $19.62 | $28.54 | $42.24 | |
Cigna
| Professional | $27.12 | $37.61 | $59.72 | |
Medica
| Facility | $26.58 | $37.60 | $73.38 | |
Medica
| Professional | $35.20 | $49.50 | $298.80 | |
United
| Professional | $34.10 | $40.70 | $79.20 |