| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.15 | $32.15 | $32.15 | |
Aetna
| Professional | $31.39 | $32.15 | $34.61 | |
Ambetter
| Professional | $33.59 | $33.59 | $33.59 | |
BCBS
| Facility | $105.37 | $123.96 | $147.79 | |
Cigna
| Professional | $40.88 | $41.28 | $51.91 | |
Medica
| Facility | $31.39 | $33.59 | $57.30 |