| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.68 | $93.76 | $118.88 | |
Aetna
| Professional | $67.53 | $93.23 | $132.00 | |
Ambetter
| Professional | $95.71 | $107.53 | $119.96 | |
BCBS
| Professional | $83.65 | $112.31 | $151.87 | |
Cigna
| Professional | $78.70 | $114.74 | $162.60 | |
Medica
| Facility | $70.69 | $103.25 | $168.74 | |
Medica
| Professional | $95.28 | $128.40 | $717.08 | |
United
| Professional | $91.20 | $115.68 | $156.16 |