| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.20 | $32.20 | $37.69 | |
Aetna
| Professional | $16.80 | $32.20 | $35.50 | |
Ambetter
| Professional | $54.08 | $54.08 | $54.08 | |
BCBS
| Professional | $47.35 | $47.35 | $47.35 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $36.21 | $43.67 | |
Medica
| Facility | $15.68 | $33.81 | $253.09 | |
Medica
| Professional | $16.18 | $28.87 | $54.74 | |
United
| Professional | $16.18 | $24.39 | $38.04 |