| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $31.37 | $41.82 | |
Aetna
| Professional | $23.62 | $36.56 | $52.79 | |
Ambetter
| Professional | $36.60 | $47.05 | $60.85 | |
BCBS
| Facility | $29.34 | $29.34 | $35.94 | |
BCBS
| Professional | $28.79 | $39.70 | $54.06 | |
Cigna
| Facility | $57.70 | $57.70 | $57.70 | |
Cigna
| Professional | $27.10 | $48.12 | $101.98 | |
Medica
| Facility | $27.83 | $41.82 | $69.97 | |
Medica
| Professional | $41.85 | $63.11 | $321.17 | |
United
| Professional | $41.23 | $49.95 | $101.25 |