| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.98 | $22.89 | $67.31 | |
Aetna
| Professional | $19.73 | $20.71 | $31.62 | |
Ambetter
| Professional | $29.20 | $29.20 | $29.20 | |
Anthem BCBS
| Facility | $38.17 | $40.08 | $176.19 | |
Anthem BCBS
| Professional | $19.07 | $20.75 | $31.41 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $18.10 | $26.43 | |
Medica
| Facility | $18.32 | $31.07 | $178.59 | |
Medica
| Professional | $14.16 | $19.05 | $45.87 | |
United
| Professional | $14.25 | $19.05 | $38.38 |