| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.24 | $46.32 | $63.60 | |
Ambetter
| Professional | $57.99 | $57.99 | $57.99 | |
BCBS
| Facility | $20.36 | $73.55 | $132.97 | |
BCBS
| Professional | $50.90 | $67.87 | $92.48 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $44.34 | $59.30 | |
Medica
| Facility | $18.91 | $24.46 | $256.42 | |
Medica
| Professional | $36.11 | $41.86 | $65.68 | |
United
| Professional | $36.11 | $41.86 | $65.68 |