| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.80 | $81.34 | $120.60 | |
Aetna
| Professional | $81.00 | $93.51 | $120.60 | |
Ambetter
| Professional | $98.53 | $129.19 | $147.80 | |
BCBS
| Professional | $99.05 | $107.43 | $136.01 | |
Cigna
| Professional | $98.96 | $122.32 | $198.90 | |
Medica
| Facility | $108.54 | $132.66 | $233.64 | |
Medica
| Professional | $90.19 | $116.62 | $707.45 | |
United
| Professional | $88.06 | $107.10 | $142.55 |