| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.81 | $97.41 | $135.00 | |
Aetna
| Professional | $56.64 | $85.50 | $233.29 | |
Ambetter
| Professional | $58.94 | $84.67 | $99.61 | |
BCBS
| Professional | $60.75 | $75.94 | $95.31 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $61.76 | $97.10 | $192.24 | |
Medica
| Facility | $58.73 | $89.74 | $169.69 | |
Medica
| Professional | $81.96 | $117.00 | $655.29 | |
United
| Professional | $78.88 | $99.33 | $190.35 |