| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.28 | $68.29 | $80.34 | |
Aetna
| Facility | 25 | $83.11 | $83.11 | $83.11 |
Aetna
| Professional | $53.91 | $68.67 | $93.98 | |
Ambetter
| Professional | $72.45 | $73.31 | $90.58 | |
BCBS
| Professional | $85.23 | $100.27 | $100.27 | |
Cigna
| Professional | $67.36 | $104.35 | $150.79 | |
Medica
| Facility | $66.95 | $87.99 | $197.21 | |
Medica
| Professional | $70.03 | $82.50 | $469.94 | |
United
| Professional | $69.94 | $78.20 | $119.60 |