| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.20 | $102.74 | $120.86 | |
Aetna
| Professional | $80.66 | $96.90 | $148.16 | |
Ambetter
| Professional | $108.44 | $108.44 | $140.97 | |
BCBS
| Professional | $124.81 | $146.84 | $146.84 | |
Cigna
| Professional | $96.94 | $149.96 | $217.15 | |
Medica
| Facility | $100.72 | $126.10 | $284.79 | |
Medica
| Professional | $100.80 | $119.54 | $707.45 | |
United
| Professional | $100.64 | $113.77 | $173.69 |