| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.77 | $158.47 | $302.91 | |
Aetna
| Professional | $123.96 | $145.99 | $297.79 | |
Ambetter
| Professional | $139.68 | $157.90 | $189.36 | |
BCBS
| Professional | $188.77 | $188.77 | $192.33 | |
Cigna
| Professional | $129.80 | $199.67 | $429.23 | |
Medica
| Facility | $123.96 | $145.75 | $364.77 | |
Medica
| Professional | $153.63 | $211.70 | $1,260.00 | |
United
| Professional | $139.66 | $177.19 | $291.58 |