| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $65.30 | $69.18 | $128.18 |
Aetna
| Professional | $111.29 | $115.46 | $160.08 | |
Ambetter
| Professional | $92.00 | $118.16 | $175.40 | |
BCBS
| Professional | $188.29 | $188.29 | $188.29 | |
Cigna
| Professional | $91.50 | $152.16 | $214.95 | |
Medica
| Facility | 26 | $132.41 | $132.41 | $251.32 |
Medica
| Professional | $123.43 | $149.00 | $759.56 | |
United
| Professional | $122.56 | $135.47 | $218.16 |