| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $89.13 | $120.23 | |
Aetna
| Professional | $81.28 | $117.49 | $288.40 | |
Ambetter
| Professional | $89.13 | $112.20 | $154.88 | |
BCBS
| Professional | $100.00 | $104.71 | $134.90 | |
Cigna
| Professional | $97.72 | $128.82 | $199.53 | |
Medica
| Facility | $107.15 | $131.83 | $302.00 | |
Medica
| Professional | $91.20 | $123.03 | $707.95 | |
United
| Professional | $85.11 | $107.15 | $147.91 |