| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.23 | $105.78 | $173.47 | |
Aetna
| Professional | $72.28 | $102.88 | $142.04 | |
Ambetter
| Professional | $54.25 | $107.06 | $136.00 | |
BCBS
| Professional | $109.29 | $128.58 | $168.41 | |
Cigna
| Facility | $140.29 | $140.29 | $140.29 | |
Cigna
| Professional | $87.61 | $133.24 | $206.72 | |
Medica
| Facility | $76.70 | $107.60 | $152.18 | |
Medica
| Professional | $111.96 | $148.93 | $732.11 | |
United
| Professional | $106.79 | $127.82 | $193.70 |