| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $50.12 | $128.82 | |
Aetna
| Professional | $30.20 | $41.69 | $56.23 | |
Ambetter
| Professional | $41.69 | $58.88 | $64.57 | |
Ambetter
| Professional | 25 | $48.98 | $54.95 | $64.57 |
BCBS
| Professional | $19.50 | $30.90 | $53.70 | |
Cigna
| Professional | $39.81 | $53.70 | $67.61 | |
Medica
| Facility | $38.02 | $50.12 | $81.28 | |
Medica
| Professional | $33.88 | $47.86 | $398.11 | |
United
| Facility | $44.67 | $158.49 | $263.03 | |
United
| Professional | $28.18 | $38.90 | $57.54 |