| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.79 | $86.32 | $110.72 | |
Aetna
| Professional | $57.23 | $86.33 | $117.04 | |
Ambetter
| Professional | $42.75 | $89.50 | $152.00 | |
BCBS
| Professional | $82.89 | $97.52 | $137.54 | |
Cigna
| Professional | $67.89 | $105.32 | $172.92 | |
Medica
| Facility | $59.80 | $88.09 | $127.72 | |
Medica
| Professional | $91.34 | $124.57 | $618.82 | |
United
| Professional | $87.12 | $105.27 | $158.26 |