| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.18 | $81.58 | $109.25 | |
Aetna
| Professional | $54.51 | $77.65 | $121.79 | |
Ambetter
| Professional | $50.93 | $68.22 | $101.00 | |
BCBS
| Professional | $74.20 | $87.31 | $117.99 | |
Cigna
| Professional | $69.06 | $105.69 | $148.58 | |
Medica
| Facility | $64.13 | $99.42 | $151.85 | |
Medica
| Professional | $92.03 | $129.66 | $542.94 | |
United
| Professional | $88.50 | $101.23 | $143.11 |