| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.54 | $105.54 | $105.54 | |
Aetna
| Professional | $64.31 | $80.94 | $127.06 | |
Ambetter
| Professional | $54.35 | $72.45 | $80.73 | |
BCBS
| Professional | $88.61 | $107.59 | $134.62 | |
Cigna
| Professional | $61.00 | $91.00 | $136.43 | |
Medica
| Facility | $71.13 | $88.56 | $179.08 | |
Medica
| Professional | $82.41 | $125.50 | $555.30 | |
United
| Professional | $75.00 | $109.85 | $224.56 |