| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.42 | $89.09 | $118.78 | |
Aetna
| Professional | $89.09 | $118.46 | $156.47 | |
Ambetter
| Professional | $111.36 | $123.73 | $170.75 | |
BCBS
| Facility | $103.13 | $103.13 | $126.33 | |
BCBS
| Professional | $70.31 | $96.98 | $125.37 | |
Cigna
| Facility | $175.89 | $175.89 | $175.89 | |
Cigna
| Professional | $95.00 | $134.00 | $210.11 | |
Medica
| Facility | $97.89 | $124.32 | $198.72 | |
Medica
| Professional | $117.18 | $152.11 | $817.07 | |
United
| Professional | $113.86 | $133.56 | $230.02 |