| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.73 | $117.73 | $118.90 | |
Aetna
| Professional | $96.33 | $123.17 | $164.87 | |
Ambetter
| Professional | $113.36 | $121.89 | $121.89 | |
BCBS
| Professional | $88.64 | $124.60 | $171.09 | |
Cigna
| Professional | $85.32 | $138.38 | $201.10 | |
Medica
| Facility | $107.26 | $135.63 | $202.54 | |
Medica
| Professional | $113.36 | $202.25 | $794.81 | |
United
| Professional | $112.31 | $152.88 | $283.17 |