| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.20 | $32.20 | $32.20 | |
Aetna
| Professional | $31.72 | $32.20 | $35.50 | |
Ambetter
| Professional | $54.08 | $54.08 | $54.08 | |
BCBS
| Professional | $47.35 | $47.35 | $47.35 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $35.59 | $43.67 | |
Medica
| Facility | $32.20 | $35.65 | $253.09 | |
Medica
| Professional | $16.18 | $28.07 | $52.81 | |
United
| Professional | $16.18 | $26.14 | $39.20 |