| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.57 | $32.57 | $95.34 | |
Aetna
| Professional | 25 | $50.51 | $50.51 | $106.20 |
Ambetter
| Professional | $32.04 | $40.09 | $45.69 | |
Anthem BCBS
| Professional | $27.68 | $32.75 | $45.56 | |
Cigna
| Professional | $28.57 | $28.57 | $29.71 | |
Medica
| Facility | $28.61 | $36.95 | $64.09 | |
Medica
| Professional | $30.45 | $43.82 | $203.57 | |
United
| Professional | $28.98 | $37.02 | $55.06 |