| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.76 | $91.14 | $124.75 | |
Aetna
| Professional | $72.93 | $107.18 | $225.22 | |
Ambetter
| Professional | $79.22 | $108.44 | $126.09 | |
BCBS
| Professional | $81.67 | $98.17 | $122.01 | |
Cigna
| Facility | $130.94 | $130.94 | $130.94 | |
Cigna
| Professional | $81.00 | $125.29 | $252.36 | |
Medica
| Facility | $78.94 | $117.88 | $218.16 | |
Medica
| Professional | $105.38 | $148.63 | $842.92 | |
United
| Professional | $103.25 | $130.11 | $247.12 |