| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $36.31 | $52.48 | |
Ambetter
| Professional | $37.15 | $51.29 | $67.61 | |
Ambetter
| Professional | 25 | $45.71 | $50.12 | $54.95 |
BCBS
| Professional | $19.05 | $29.51 | $51.29 | |
Cigna
| Professional | $35.48 | $52.48 | $72.44 | |
Medica
| Facility | $23.99 | $39.81 | $58.88 | |
Medica
| Professional | $40.74 | $61.66 | $323.59 | |
United
| Facility | $33.88 | $33.88 | $50.12 | |
United
| Professional | $29.51 | $43.65 | $64.57 |