| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.62 | $96.17 | $118.25 | |
Aetna
| Professional | $61.60 | $90.90 | $127.90 | |
Ambetter
| Professional | $44.75 | $95.34 | $152.00 | |
BCBS
| Professional | $94.04 | $110.64 | $152.47 | |
Cigna
| Professional | $74.93 | $115.44 | $184.82 | |
Medica
| Facility | $65.81 | $96.02 | $140.49 | |
Medica
| Professional | $100.25 | $132.52 | $657.47 | |
United
| Professional | $97.44 | $113.73 | $163.43 |