| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $81.28 | $169.82 | |
Aetna
| Professional | $52.48 | $91.20 | $154.88 | |
Ambetter
| Professional | $52.48 | $67.61 | $72.44 | |
BCBS
| Professional | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $70.79 | $104.71 | $158.49 | |
Medica
| Facility | $81.28 | $114.82 | $199.53 | |
Medica
| Professional | $74.13 | $93.33 | $524.81 | |
United
| Professional | $72.44 | $87.10 | $125.89 |