| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.64 | $98.78 | $140.78 | |
Aetna
| Professional | $78.94 | $111.19 | $144.12 | |
Ambetter
| Professional | $68.59 | $80.03 | $117.37 | |
BCBS
| Professional | $96.60 | $104.77 | $132.65 | |
Cigna
| Professional | $78.62 | $111.85 | $192.84 | |
Medica
| Facility | $91.17 | $140.78 | $201.32 | |
Medica
| Professional | $83.15 | $105.85 | $613.55 | |
United
| Professional | $83.15 | $103.94 | $139.28 |