| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.73 | $190.73 | $193.66 | |
Aetna
| Professional | $185.96 | $198.21 | $225.74 | |
Ambetter
| Professional | $174.30 | $226.39 | $413.66 | |
BCBS
| Professional | $198.80 | $267.30 | $290.87 | |
Cigna
| Professional | $188.43 | $269.39 | $337.36 | |
Medica
| Facility | $185.96 | $201.19 | $327.70 | |
Medica
| Professional | $183.75 | $259.93 | $2,520.00 | |
United
| Professional | $183.75 | $235.95 | $387.57 |