| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.91 | $70.23 | $89.79 | |
Aetna
| Professional | $56.60 | $76.31 | $92.23 | |
Ambetter
| Professional | $65.95 | $86.48 | $102.61 | |
BCBS
| Professional | $68.95 | $74.78 | $94.68 | |
Cigna
| Professional | $68.56 | $85.02 | $137.97 | |
Medica
| Facility | $76.27 | $97.90 | $172.40 | |
Medica
| Facility | AS | $35.72 | $35.72 | $35.72 |
Medica
| Professional | $62.58 | $79.67 | $469.94 | |
United
| Professional | $59.70 | $74.69 | $98.91 |