| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.19 | $84.19 | $84.19 | |
Aetna
| Professional | $60.04 | $84.95 | $125.20 | |
Ambetter
| Professional | $27.00 | $27.00 | $27.00 | |
BCBS
| Professional | $46.14 | $53.64 | $70.09 | |
Cigna
| Professional | $87.00 | $202.00 | $211.64 | |
Medica
| Facility | $71.56 | $84.95 | $144.81 | |
Medica
| Professional | $451.00 | $451.00 | $451.00 | |
United
| Facility | $233.00 | $233.00 | $233.00 |