| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.22 | $122.34 | $161.41 | |
Ambetter
| Professional | $112.54 | $112.54 | $112.54 | |
BCBS
| Facility | $114.30 | $194.32 | $194.32 | |
BCBS
| Professional | $96.61 | $110.41 | $128.35 | |
Cigna
| Professional | $107.91 | $134.66 | $268.14 | |
Medica
| Facility | $111.72 | $134.10 | $251.68 | |
Medica
| Professional | $104.69 | $131.56 | $1,165.68 | |
United
| Professional | $102.66 | $125.30 | $219.49 |