| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $40.00 | |
Aetna
| Professional | $30.36 | $32.32 | $36.88 | |
Ambetter
| Professional | $33.59 | $33.59 | $33.59 | |
BCBS
| Professional | $29.09 | $35.33 | $41.56 | |
Cigna
| Professional | $21.90 | $21.90 | $43.33 | |
Medica
| Facility | $29.55 | $32.74 | $38.47 |