| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.26 | $25.37 | $874.99 | |
Aetna
| Professional | $12.25 | $13.79 | $25.37 | |
Ambetter
| Professional | $22.98 | $22.98 | $22.98 | |
BCBS
| Professional | $23.35 | $23.35 | $23.35 | |
Cigna
| Professional | $11.73 | $11.73 | $11.73 | |
Medica
| Facility | $12.74 | $19.85 | $33.99 | |
Medica
| Professional | $7.64 | $11.46 | $114.44 | |
United
| Professional | $7.64 | $11.46 | $16.44 |