| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.36 | $95.42 | $133.74 | |
Aetna
| Professional | $70.69 | $104.65 | $147.88 | |
Ambetter
| Professional | $92.32 | $112.71 | $138.50 | |
BCBS
| Professional | $110.79 | $130.34 | $179.02 | |
Cigna
| Professional | $84.62 | $131.34 | $210.22 | |
Medica
| Facility | $74.29 | $108.61 | $161.36 | |
Medica
| Professional | $118.00 | $151.82 | $743.11 | |
United
| Professional | $112.12 | $129.22 | $191.13 |