| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.32 | $110.03 | $139.74 | |
Aetna
| Professional | $89.51 | $127.11 | $337.84 | |
Ambetter
| Professional | $91.98 | $128.61 | $213.29 | |
BCBS
| Professional | $94.22 | $110.22 | $136.62 | |
Cigna
| Facility | $152.08 | $152.08 | $152.08 | |
Cigna
| Professional | $95.98 | $144.09 | $289.95 | |
Medica
| Facility | $91.65 | $136.41 | $244.36 | |
Medica
| Professional | $120.84 | $169.05 | $944.96 | |
United
| Professional | $117.18 | $148.35 | $277.13 |