| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.39 | $67.81 | $102.03 | |
Aetna
| Professional | $56.64 | $91.98 | $227.43 | |
Ambetter
| Professional | $58.94 | $84.25 | $109.56 | |
BCBS
| Professional | $60.75 | $75.94 | $99.88 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $60.91 | $101.42 | $200.22 | |
Medica
| Facility | $58.73 | $94.47 | $169.69 | |
Medica
| Professional | $89.30 | $123.20 | $685.73 | |
United
| Professional | $85.34 | $105.40 | $199.86 |