| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.01 | $28.01 | $28.01 | |
Aetna
| Professional | $26.97 | $28.01 | $65.11 | |
Ambetter
| Professional | $47.39 | $47.39 | $47.39 | |
BCBS
| Professional | $51.87 | $51.87 | $51.87 | |
Cigna
| Facility | $36.61 | $36.61 | $36.61 | |
Cigna
| Professional | $26.73 | $36.61 | $36.61 | |
Medica
| Facility | $17.53 | $35.57 | $286.64 | |
Medica
| Professional | $18.10 | $28.31 | $58.58 | |
United
| Professional | $18.10 | $27.15 | $38.95 |