| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.75 | $93.15 | $120.73 | |
Ambetter
| Professional | $104.53 | $115.51 | $146.34 | |
BCBS
| Professional | $78.75 | $109.90 | $150.91 | |
Cigna
| Professional | $76.22 | $114.99 | $162.29 | |
Medica
| Facility | $66.67 | $102.47 | $170.64 | |
Medica
| Professional | $98.25 | $131.54 | $715.23 | |
United
| Professional | $94.70 | $118.37 | $164.53 |