| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.86 | $40.86 | $42.13 | |
Aetna
| Professional | $40.47 | $70.56 | $105.84 | |
Ambetter
| Professional | $37.92 | $37.92 | $37.92 | |
Cigna
| Professional | $48.75 | $48.75 | $60.94 | |
Medica
| Facility | $33.40 | $42.13 | $69.45 | |
Medica
| Professional | $42.13 | $42.13 | $42.13 |