| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.14 | $118.14 | $118.14 | |
Aetna
| Professional | $64.67 | $88.08 | $134.03 | |
Ambetter
| Professional | $82.13 | $82.14 | $98.05 | |
BCBS
| Professional | $87.44 | $106.18 | $150.62 | |
Cigna
| Professional | $69.00 | $102.00 | $152.11 | |
Medica
| Facility | $74.80 | $97.37 | $187.65 | |
Medica
| Professional | $94.00 | $138.75 | $633.97 | |
United
| Professional | $90.49 | $126.58 | $172.50 |