| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.44 | $32.45 | $47.35 | |
Ambetter
| Professional | $40.56 | $40.56 | $40.56 | |
BCBS
| Facility | $14.20 | $51.30 | $92.74 | |
BCBS
| Professional | $38.45 | $47.33 | $60.34 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $62.63 | |
Medica
| Facility | $35.65 | $35.70 | $253.09 | |
Medica
| Professional | $21.56 | $24.28 | $39.20 | |
United
| Professional | $21.56 | $24.28 | $39.20 |