| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.80 | $85.75 | $114.91 | |
Ambetter
| Professional | $76.95 | $95.30 | $98.32 | |
BCBS
| Professional | $73.84 | $101.41 | $138.88 | |
Cigna
| Professional | $69.65 | $102.77 | $147.47 | |
Medica
| Facility | $62.41 | $93.27 | $153.05 | |
Medica
| Professional | $86.90 | $116.40 | $657.47 | |
United
| Professional | $81.47 | $105.37 | $142.16 |