| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $21.80 | $21.80 | |
Aetna
| Professional | $20.00 | $20.00 | $40.79 | |
Ambetter
| Professional | $75.00 | $75.00 | $75.00 | |
BCBS
| Professional | $57.37 | $67.48 | $67.48 | |
Cigna
| Professional | $180.06 | $180.06 | $180.06 | |
Medica
| Facility | $20.00 | $20.00 | $38.40 | |
Medica
| Professional | $515.64 | $515.64 | $515.64 | |
United
| Professional | $230.00 | $230.00 | $230.00 |