| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.48 | $121.20 | $234.60 | |
Aetna
| Professional | $79.16 | $114.17 | $159.56 | |
Ambetter
| Professional | $59.50 | $117.60 | $154.16 | |
BCBS
| Professional | $124.16 | $146.07 | $195.69 | |
Cigna
| Professional | $95.85 | $146.74 | $229.01 | |
Medica
| Facility | $83.95 | $119.24 | $176.06 | |
Medica
| Professional | $128.63 | $166.47 | $817.69 | |
United
| Professional | $122.09 | $142.11 | $214.67 |