| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
Aetna
| Professional | $16.98 | $30.90 | $46.77 | |
Ambetter
| Professional | $28.18 | $38.90 | $54.95 | |
BCBS
| Professional | $47.86 | $47.86 | $47.86 | |
Cigna
| Facility | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $26.30 | $26.30 | $58.88 | |
Medica
| Facility | $26.92 | $38.02 | $251.19 | |
Medica
| Professional | $16.22 | $28.18 | $66.07 | |
United
| Facility | $22.39 | $38.02 | $54.95 | |
United
| Professional | $16.22 | $24.55 | $37.15 |