| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.25 | $16.25 | $31.71 | |
Aetna
| Professional | $16.25 | $26.46 | $42.28 | |
Ambetter
| Professional | $36.25 | $36.25 | $36.25 | |
BCBS
| Facility | $22.62 | $22.62 | $109.04 | |
BCBS
| Professional | $16.53 | $24.37 | $35.34 | |
Cigna
| Facility | $26.71 | $26.71 | $26.71 | |
Cigna
| Professional | $34.52 | $34.52 | $34.52 | |
Medica
| Facility | $17.88 | $34.43 | $60.83 | |
Medica
| Professional | $33.79 | $43.20 | $242.72 | |
United
| Professional | $33.47 | $39.24 | $76.30 |