| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.30 | $62.30 | $79.56 | |
Aetna
| Professional | $51.10 | $84.00 | $140.00 | |
Ambetter
| Professional | $70.37 | $70.37 | $75.11 | |
BCBS
| Professional | $174.50 | $174.50 | $174.50 | |
Cigna
| Professional | $56.33 | $95.36 | $134.82 | |
Medica
| Facility | $62.30 | $100.41 | $151.33 | |
Medica
| Professional | $78.23 | $105.83 | $542.94 | |
United
| Professional | $73.62 | $95.23 | $124.24 |