| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $21.88 | $21.88 | |
Ambetter
| Professional | $14.79 | $14.79 | $70.79 | |
Anthem BCBS
| Professional | $4.79 | $4.79 | $5.75 | |
Cigna
| Facility | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Medica
| Facility | $22.39 | $22.39 | $75.86 |