| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $50.12 | $53.70 | |
Ambetter
| Professional | $47.86 | $52.48 | $75.86 | |
BCBS
| Professional | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $47.86 | $60.26 | $75.86 | |
Medica
| Facility | $19.50 | $52.48 | $275.42 | |
Medica
| Professional | $47.86 | $64.57 | $87.10 | |
United
| Professional | $51.29 | $66.07 | $87.10 |