| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.99 | $24.05 | $30.18 | |
Ambetter
| Professional | $25.56 | $25.56 | $28.70 | |
Anthem BCBS
| Professional | $21.24 | $26.21 | $28.64 | |
Cigna
| Facility | $23.28 | $23.28 | $29.01 | |
Cigna
| Professional | $19.79 | $23.28 | $27.37 | |
Medica
| Facility | $16.73 | $34.01 | $167.12 | |
Medica
| Professional | $14.39 | $19.60 | $35.00 | |
United
| Professional | $14.39 | $19.60 | $40.77 |