| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.75 | $21.88 | $67.61 | |
Ambetter
| Professional | $18.62 | $30.20 | $36.31 | |
BCBS
| Facility | $9.55 | $21.88 | $45.71 | |
BCBS
| Professional | $27.54 | $36.31 | $69.18 | |
Cigna
| Facility | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $17.78 | $17.78 | $23.99 | |
Medica
| Facility | $10.47 | $26.92 | $74.13 | |
Medica
| Professional | $12.88 | $16.22 | $181.97 | |
United
| Facility | $14.79 | $27.54 | $28.84 | |
United
| Professional | $14.79 | $16.22 | $24.55 |