| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $48.98 | $75.86 | |
Ambetter
| Professional | $45.71 | $60.26 | $81.28 | |
BCBS
| Facility | $60.26 | $64.57 | $64.57 | |
BCBS
| Professional | $0.06 | $0.08 | $0.09 | |
Cigna
| Professional | $44.67 | $74.13 | $162.18 | |
Medica
| Facility | $33.11 | $46.77 | $70.79 | |
Medica
| Professional | $61.66 | $109.65 | $398.11 | |
United
| Professional | $43.65 | $64.57 | $97.72 |