| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $107.15 | $269.15 | |
Ambetter
| Professional | $85.11 | $107.15 | $134.90 | |
BCBS
| Professional | $74.13 | $102.33 | $144.54 | |
Cigna
| Professional | $69.18 | $104.71 | $158.49 | |
Medica
| Facility | $61.66 | $91.20 | $158.49 | |
Medica
| Professional | $93.33 | $131.83 | $691.83 | |
United
| Facility | $56.23 | $63.10 | $93.33 | |
United
| Professional | $63.10 | $93.33 | $134.90 |