| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.59 | $71.79 | $96.79 | |
Ambetter
| Professional | $84.98 | $84.98 | $84.98 | |
BCBS
| Facility | $39.13 | $146.09 | $255.99 | |
BCBS
| Professional | $48.72 | $70.86 | $88.58 | |
Cigna
| Professional | $61.73 | $86.81 | $153.77 | |
Medica
| Facility | $57.17 | $71.47 | $131.41 | |
Medica
| Professional | $73.94 | $104.85 | $530.02 | |
United
| Professional | $72.23 | $83.88 | $154.19 |