| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.80 | $74.80 | $94.41 | |
Aetna
| Professional | $65.44 | $91.43 | $121.12 | |
Ambetter
| Professional | $90.10 | $90.10 | $90.10 | |
BCBS
| Professional | $59.85 | $83.27 | $134.12 | |
Cigna
| Professional | $69.00 | $102.00 | $130.29 | |
Medica
| Facility | $69.30 | $97.24 | $143.63 | |
Medica
| Professional | $83.92 | $135.84 | $633.97 | |
United
| Professional | $81.99 | $107.09 | $185.74 |