| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $112.20 | $158.49 | |
Ambetter
| Professional | $89.13 | $112.20 | $128.82 | |
BCBS
| Professional | $123.03 | $151.36 | $177.83 | |
Cigna
| Professional | $85.11 | $120.23 | $223.87 | |
Medica
| Facility | $100.00 | $123.03 | $251.19 | |
Medica
| Professional | $114.82 | $162.18 | $741.31 | |
United
| Professional | $104.71 | $138.04 | $199.53 |