| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.80 | $87.38 | $121.30 | |
Aetna
| Professional | $72.93 | $108.41 | $289.54 | |
Ambetter
| Professional | $89.35 | $111.64 | $182.93 | |
BCBS
| Professional | $78.30 | $95.47 | $118.65 | |
Cigna
| Facility | $125.60 | $125.60 | $125.60 | |
Cigna
| Professional | $78.44 | $122.98 | $244.14 | |
Medica
| Facility | $75.68 | $114.61 | $212.11 | |
Medica
| Professional | $105.00 | $144.75 | $817.69 | |
United
| Professional | $102.59 | $127.50 | $237.95 |