| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $30.90 | $40.74 | |
Aetna
| Professional | $22.91 | $36.31 | $56.23 | |
Ambetter
| Professional | $38.90 | $50.12 | $64.57 | |
Ambetter
| Professional | 25 | $36.31 | $50.12 | $54.95 |
BCBS
| Facility | $29.51 | $33.11 | $36.31 | |
BCBS
| Professional | $29.51 | $41.69 | $56.23 | |
Cigna
| Professional | $31.62 | $51.29 | $95.50 | |
Medica
| Facility | $27.54 | $42.66 | $72.44 | |
Medica
| Professional | $41.69 | $70.79 | $323.59 | |
United
| Facility | $38.90 | $57.54 | $79.43 | |
United
| Professional | $29.51 | $45.71 | $77.62 |