| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.58 | $108.42 | $213.79 | |
Aetna
| Professional | $46.87 | $50.59 | $56.93 | |
Ambetter
| Professional | $55.15 | $55.15 | $60.76 | |
BCBS
| Professional | $51.10 | $68.70 | $80.73 | |
Cigna
| Professional | $47.25 | $69.13 | $84.98 | |
Medica
| Facility | $46.15 | $51.01 | $83.48 | |
Medica
| Professional | $47.24 | $68.70 | $332.01 | |
United
| Professional | $47.24 | $58.36 | $99.64 |