| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $87.10 | $1,000.00 | |
Aetna
| Professional | $33.88 | $51.29 | $104.71 | |
Ambetter
| Professional | $30.90 | $39.81 | $52.48 | |
BCBS
| Professional | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $46.77 | $77.62 | $131.83 | |
Medica
| Facility | $37.15 | $70.79 | $186.21 | |
Medica
| Professional | $38.90 | $83.18 | $562.34 | |
United
| Professional | $38.90 | $64.57 | $100.00 |