| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.28 | $72.75 | $106.97 | |
Aetna
| Professional | $62.86 | $92.65 | $185.03 | |
Ambetter
| Professional | $82.04 | $98.45 | $103.92 | |
BCBS
| Professional | $65.18 | $80.62 | $104.69 | |
Cigna
| Facility | $104.52 | $104.52 | $104.52 | |
Cigna
| Professional | $68.06 | $108.32 | $210.25 | |
Medica
| Facility | $63.01 | $102.19 | $181.43 | |
Medica
| Professional | $95.99 | $129.02 | $715.23 | |
United
| Professional | $92.82 | $112.54 | $213.66 |