| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.91 | $9.91 | $9.91 | |
Aetna
| Professional | $2.46 | $4.78 | $9.91 | |
Ambetter
| Professional | $5.38 | $5.38 | $5.38 | |
BCBS
| Professional | $10.91 | $10.95 | $10.95 | |
Cigna
| Facility | $5.40 | $5.40 | $5.40 | |
Cigna
| Professional | $4.59 | $5.40 | $11.25 | |
Medica
| Facility | $2.46 | $7.75 | $80.00 | |
Medica
| Professional | $2.54 | $4.48 | $11.46 | |
United
| Professional | $2.54 | $4.34 | $6.04 |