| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.37 | $47.37 | $70.43 | |
Aetna
| Professional | $35.75 | $47.24 | $75.73 | |
Aetna
| Professional | 25 | $78.05 | $78.05 | $78.05 |
Ambetter
| Professional | $65.86 | $65.86 | $65.86 | |
BCBS
| Facility | $38.29 | $143.02 | $250.60 | |
BCBS
| Professional | $28.08 | $41.95 | $64.83 | |
Cigna
| Professional | $26.27 | $45.52 | $79.28 | |
Medica
| Facility | $37.29 | $55.46 | $97.06 | |
Medica
| Professional | $38.72 | $55.80 | $435.65 | |
United
| Professional | $38.44 | $44.77 | $84.20 |