| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.33 | $147.91 | $302.00 | |
Ambetter
| Professional | $131.83 | $162.18 | $194.98 | |
BCBS
| Professional | $123.03 | $158.49 | $213.80 | |
Cigna
| Professional | $114.82 | $158.49 | $239.88 | |
Medica
| Facility | $102.33 | $141.25 | $245.47 | |
Medica
| Professional | $138.04 | $194.98 | $1,023.29 | |
United
| Facility | $97.72 | $109.65 | $144.54 | |
United
| Professional | $107.15 | $144.54 | $204.17 |