| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $186.21 | $239.88 | |
Aetna
| Professional | $104.71 | $147.91 | $269.15 | |
Ambetter
| Professional | $120.23 | $158.49 | $229.09 | |
BCBS
| Professional | $165.96 | $190.55 | $245.47 | |
Cigna
| Professional | $120.23 | $169.82 | $275.42 | |
Medica
| Facility | $104.71 | $151.36 | $234.42 | |
Medica
| Professional | $154.88 | $208.93 | $1,023.29 | |
United
| Facility | $141.25 | $141.25 | $141.25 | |
United
| Professional | $120.23 | $162.18 | $223.87 |