| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $91.20 | $120.23 | |
Ambetter
| Professional | $72.44 | $85.11 | $109.65 | |
BCBS
| Professional | $60.26 | $85.11 | $125.89 | |
Cigna
| Professional | $66.07 | $95.50 | $151.36 | |
Medica
| Facility | $75.86 | $91.20 | $125.89 | |
Medica
| Professional | $79.43 | $109.65 | $616.60 | |
United
| Facility | $95.50 | $95.50 | $104.71 | |
United
| Professional | $75.86 | $95.50 | $151.36 |