| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.22 | $106.98 | $166.37 | |
Ambetter
| Professional | $101.01 | $121.22 | $148.55 | |
BCBS
| Professional | $94.15 | $126.88 | $171.57 | |
Cigna
| Professional | $88.62 | $130.72 | $185.33 | |
Medica
| Facility | $80.50 | $117.68 | $196.04 | |
Medica
| Professional | $108.80 | $146.31 | $817.69 | |
United
| Professional | $105.00 | $133.44 | $177.39 |