| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.20 | $100.20 | $121.86 | |
Aetna
| Professional | $89.09 | $120.51 | $161.69 | |
Ambetter
| Professional | $120.31 | $120.31 | $120.31 | |
BCBS
| Professional | $79.36 | $108.49 | $172.24 | |
Cigna
| Professional | $89.00 | $134.00 | $172.49 | |
Medica
| Facility | $95.11 | $130.09 | $188.21 | |
Medica
| Professional | $109.98 | $178.08 | $817.07 | |
United
| Professional | $113.86 | $145.91 | $259.69 |