| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $67.61 | |
Aetna
| Professional | $57.54 | $67.61 | $83.18 | |
Ambetter
| Professional | $87.10 | $87.10 | $154.88 | |
BCBS
| Professional | $72.44 | $79.43 | $109.65 | |
Cigna
| Professional | $67.61 | $102.33 | $125.89 | |
Medica
| Facility | $57.54 | $70.79 | $107.15 | |
Medica
| Professional | $69.18 | $95.50 | $512.86 | |
United
| Professional | $64.57 | $85.11 | $117.49 |