| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.56 | $84.34 | $117.88 | |
Aetna
| Professional | $61.29 | $90.54 | $122.11 | |
Ambetter
| Professional | $47.00 | $95.34 | $123.94 | |
BCBS
| Professional | $94.04 | $110.63 | $150.38 | |
Cigna
| Professional | $74.39 | $115.44 | $184.21 | |
Medica
| Facility | $65.81 | $95.34 | $140.49 | |
Medica
| Professional | $99.29 | $133.16 | $655.29 | |
United
| Professional | $94.96 | $113.17 | $167.73 |