| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.95 | $100.31 | $109.43 | |
Aetna
| Professional | $67.54 | $84.60 | $129.29 | |
Ambetter
| Professional | $85.09 | $85.09 | $85.09 | |
BCBS
| Professional | $83.64 | $101.56 | $130.05 | |
Cigna
| Facility | $679.11 | $679.11 | $679.11 | |
Cigna
| Professional | $64.00 | $98.00 | $160.29 | |
Medica
| Facility | $77.01 | $100.02 | $189.64 | |
Medica
| Professional | $88.53 | $132.44 | $590.30 | |
United
| Professional | $88.53 | $114.71 | $175.01 |