| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $38.90 | $41.69 | |
Ambetter
| Professional | $40.74 | $54.95 | $61.66 | |
BCBS
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $38.02 | $47.86 | $58.88 | |
Medica
| Facility | $14.45 | $41.69 | $218.78 | |
Medica
| Professional | $37.15 | $50.12 | $67.61 | |
United
| Professional | $39.81 | $50.12 | $67.61 |