| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.90 | $45.34 | $58.94 | |
Aetna
| Professional | $43.66 | $45.34 | $57.60 | |
Ambetter
| Professional | $71.93 | $73.43 | $76.72 | |
BCBS
| Professional | $83.97 | $83.97 | $83.97 | |
Cigna
| Facility | $59.92 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $67.34 | $73.63 | |
Medica
| Facility | $27.35 | $47.61 | $474.60 | |
Medica
| Professional | $31.89 | $47.84 | $94.85 | |
United
| Professional | $31.89 | $45.85 | $68.64 |