| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.44 | $125.62 | $204.49 | |
Ambetter
| Professional | $124.30 | $124.30 | $124.30 | |
BCBS
| Professional | $88.23 | $128.34 | $621.63 | |
Cigna
| Professional | $111.48 | $123.36 | $201.39 | |
Medica
| Facility | $100.00 | $167.30 | $694.84 | |
Medica
| Professional | $111.86 | $129.88 | $299.55 | |
United
| Professional | $111.86 | $129.88 | $250.82 |