| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $37.15 | |
Aetna
| Professional | $25.12 | $32.36 | $42.66 | |
Ambetter
| Professional | $37.15 | $44.67 | $48.98 | |
BCBS
| Professional | $26.92 | $35.48 | $48.98 | |
Cigna
| Professional | $30.20 | $46.77 | $54.95 | |
Medica
| Facility | $27.54 | $37.15 | $56.23 | |
Medica
| Professional | $31.62 | $43.65 | $302.00 | |
United
| Professional | $25.12 | $35.48 | $51.29 |