| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.45 | $89.88 | $128.58 | |
Aetna
| Professional | $70.06 | $100.71 | $130.91 | |
Ambetter
| Professional | $84.25 | $104.49 | $135.84 | |
BCBS
| Professional | $107.29 | $126.22 | $175.73 | |
Cigna
| Professional | $82.00 | $126.77 | $201.42 | |
Medica
| Facility | $70.06 | $103.73 | $163.74 | |
Medica
| Professional | $113.87 | $152.13 | $715.23 | |
United
| Professional | $110.08 | $126.66 | $183.30 |