| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.80 | $15.80 | $15.80 | |
Aetna
| Professional | $15.46 | $15.80 | $17.35 | |
BCBS
| Professional | $15.76 | $16.59 | $16.64 | |
Cigna
| Professional | $19.88 | $28.76 | $45.31 | |
Medica
| Facility | $15.80 | $25.78 | $31.60 | |
Medica
| Professional | $21.74 | $34.75 | $113.84 | |
Midlands
| Facility | $22.02 | $29.48 | $45.31 | |
Midlands
| Professional | $22.14 | $29.48 | $45.31 | |
Oscar Health
| Professional | $21.80 | $21.80 | $44.40 | |
United
| Professional | $21.38 | $35.59 | $44.11 |