| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $34.67 | $41.69 | |
Aetna
| Professional | $23.99 | $33.88 | $46.77 | |
Ambetter
| Professional | $36.31 | $44.67 | $48.98 | |
Ambetter
| Professional | 25 | $44.67 | $44.67 | $44.67 |
BCBS
| Facility | $0.76 | $0.95 | $1.05 | |
BCBS
| Professional | $0.06 | $0.09 | $0.09 | |
Cigna
| Professional | $31.62 | $44.67 | $64.57 | |
Medica
| Facility | $28.18 | $37.15 | $46.77 | |
Medica
| Professional | $38.90 | $56.23 | $302.00 | |
United
| Professional | $29.51 | $41.69 | $58.88 |