| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.33 | $102.98 | $174.71 | |
Ambetter
| Professional | $110.13 | $114.50 | $142.69 | |
BCBS
| Professional | $93.45 | $122.26 | $165.33 | |
Cigna
| Professional | $88.56 | $127.45 | $178.84 | |
Medica
| Facility | $79.64 | $114.16 | $186.64 | |
Medica
| Professional | $105.84 | $141.60 | $785.23 | |
United
| Professional | $99.99 | $126.02 | $170.61 |