| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $70.79 | |
Aetna
| Professional | $64.57 | $64.57 | $79.43 | |
Ambetter
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Facility | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
Medica
| Facility | $56.23 | $70.79 | $102.33 | |
Medica
| Professional | $69.18 | $81.28 | $87.10 | |
United
| Facility | $66.07 | $66.07 | $69.18 | |
United
| Professional | $69.18 | $81.28 | $87.10 |