| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $107.15 | $51,286.14 | |
Aetna
| Professional | $79.43 | $109.65 | $245.47 | |
Ambetter
| Professional | $93.33 | $112.20 | $141.25 | |
BCBS
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $97.72 | $151.36 | $234.42 | |
Medica
| Facility | $100.00 | $128.82 | $281.84 | |
Medica
| Professional | $100.00 | $125.89 | $707.95 | |
United
| Professional | $93.33 | $114.82 | $173.78 |