| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $53.70 | |
Aetna
| Professional | $30.90 | $42.66 | $63.10 | |
Ambetter
| Professional | $38.02 | $64.57 | $75.86 | |
BCBS
| Professional | $25.12 | $37.15 | $44.67 | |
Cigna
| Professional | $38.02 | $54.95 | $77.62 | |
Medica
| Facility | $37.15 | $52.48 | $81.28 | |
Medica
| Professional | $35.48 | $48.98 | $436.52 | |
United
| Professional | $22.39 | $38.90 | $58.88 |