| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.57 | $142.09 | $221.99 | |
Aetna
| Professional | $97.60 | $132.13 | $186.21 | |
Ambetter
| Professional | $72.50 | $136.88 | $177.96 | |
BCBS
| Professional | $149.66 | $176.08 | $226.36 | |
Cigna
| Professional | $116.20 | $177.30 | $266.58 | |
Medica
| Facility | $101.77 | $143.76 | $207.92 | |
Medica
| Professional | $149.65 | $192.65 | $944.96 | |
United
| Professional | $140.97 | $164.26 | $241.33 |