| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.60 | $25.32 | $31.07 | |
Aetna
| Professional | $31.07 | $40.64 | $57.45 | |
Ambetter
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Professional | $26.94 | $33.67 | $36.02 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Medica
| Facility | $25.18 | $39.29 | $67.22 | |
Medica
| Professional | $27.12 | $45.32 | $201.47 | |
United
| Professional | $26.65 | $39.46 | $60.63 |