| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.14 | $106.44 | $234.00 | |
Aetna
| Professional | $64.75 | $93.24 | $254.75 | |
Ambetter
| Professional | $67.05 | $107.34 | $108.84 | |
BCBS
| Professional | $69.12 | $83.76 | $104.10 | |
Cigna
| Facility | $110.81 | $110.81 | $110.81 | |
Cigna
| Professional | $69.73 | $107.17 | $216.82 | |
Medica
| Facility | $66.81 | $98.80 | $186.12 | |
Medica
| Professional | $89.34 | $128.69 | $717.08 | |
United
| Professional | $86.70 | $111.86 | $214.26 |