| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.65 | $114.04 | $204.85 | |
Aetna
| Professional | $81.75 | $109.62 | $150.00 | |
Ambetter
| Professional | $90.00 | $113.84 | $152.00 | |
BCBS
| Professional | $119.22 | $140.26 | $182.01 | |
Cigna
| Facility | $148.83 | $148.83 | $148.83 | |
Cigna
| Professional | $95.14 | $144.65 | $220.49 | |
Medica
| Facility | $83.05 | $117.26 | $169.71 | |
Medica
| Professional | $122.27 | $158.69 | $785.23 | |
United
| Professional | $115.80 | $136.19 | $193.79 |