| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.91 | $123.30 | $164.39 | |
Aetna
| Professional | $84.00 | $111.89 | $155.13 | |
Ambetter
| Professional | $87.64 | $103.11 | $134.04 | |
BCBS
| Professional | $92.60 | $108.94 | $137.90 | |
Cigna
| Professional | $97.61 | $146.49 | $214.38 | |
Medica
| Facility | $99.60 | $140.83 | $200.25 | |
Medica
| Professional | $125.95 | $177.89 | $746.21 | |
United
| Professional | $120.71 | $141.38 | $200.06 |