| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.20 | $70.64 | $335.66 | |
Aetna
| Professional | $24.03 | $58.87 | $134.11 | |
Ambetter
| Professional | $50.00 | $50.00 | $50.00 | |
BCBS
| Professional | $29.61 | $34.84 | $105.07 | |
Cigna
| Professional | $24.78 | $58.52 | $118.00 | |
Medica
| Facility | $24.03 | $58.87 | $128.76 | |
Medica
| Professional | $75.79 | $106.74 | $476.90 | |
United
| Professional | $73.47 | $91.83 | $135.16 |