| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.39 | $26.39 | $27.21 | |
Aetna
| Professional | $26.39 | $31.58 | $49.85 | |
Aetna
| Professional | 25 | $106.20 | $106.20 | $106.20 |
Ambetter
| Professional | $25.12 | $32.59 | $48.33 | |
BCBS
| Professional | $40.54 | $47.71 | $49.34 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Medica
| Facility | $27.21 | $32.29 | $47.03 | |
Medica
| Professional | $35.21 | $50.12 | $203.57 | |
United
| Professional | $33.36 | $41.81 | $55.89 |