| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.25 | $27.67 | $37.52 | |
Ambetter
| Professional | $30.82 | $30.82 | $30.82 | |
Anthem BCBS
| Professional | $24.20 | $32.04 | $33.09 | |
Cigna
| Facility | $27.09 | $27.09 | $30.07 | |
Cigna
| Professional | $23.03 | $27.09 | $32.74 | |
Medica
| Facility | $19.25 | $36.78 | $194.27 | |
Medica
| Professional | $16.04 | $21.77 | $45.63 | |
United
| Professional | $16.04 | $21.05 | $46.04 |