| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.40 | $69.84 | $154.85 | |
Aetna
| Professional | $54.08 | $77.09 | $140.78 | |
Ambetter
| Professional | $75.04 | $86.30 | $125.47 | |
BCBS
| Professional | $115.41 | $135.78 | $135.78 | |
Cigna
| Professional | $93.96 | $133.00 | $205.07 | |
Medica
| Facility | $70.31 | $118.65 | $206.36 | |
Medica
| Professional | $87.95 | $114.33 | $613.55 | |
United
| Professional | $81.09 | $109.66 | $162.27 |