| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.01 | $48.01 | $60.50 | |
Aetna
| Professional | $29.26 | $46.12 | $82.14 | |
Aetna
| Professional | 25 | $42.71 | $55.52 | $106.50 |
Ambetter
| Professional | $53.60 | $56.57 | $62.53 | |
BCBS
| Facility | $39.13 | $146.09 | $255.99 | |
BCBS
| Professional | $32.21 | $46.85 | $62.90 | |
Cigna
| Professional | $31.93 | $43.67 | $70.56 | |
Medica
| Facility | $37.79 | $49.54 | $96.71 | |
Medica
| Professional | $37.44 | $54.57 | $394.41 | |
United
| Professional | $37.20 | $44.40 | $85.68 |