| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.96 | $123.96 | $125.71 | |
Aetna
| Professional | $117.76 | $129.06 | $147.00 | |
Ambetter
| Professional | $113.22 | $118.48 | $231.00 | |
BCBS
| Professional | $129.50 | $174.12 | $183.63 | |
Cigna
| Professional | $122.37 | $174.09 | $217.97 | |
Medica
| Facility | $120.89 | $130.19 | $212.00 | |
Medica
| Professional | $118.72 | $167.60 | $1,260.00 | |
United
| Professional | $111.74 | $146.65 | $250.40 |