| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.34 | $161.80 | $284.45 | |
Aetna
| Professional | $113.35 | $156.28 | $177.92 | |
Aetna
| Professional | 25 | $370.68 | $370.68 | $370.68 |
Ambetter
| Professional | $160.34 | $160.34 | $193.80 | |
BCBS
| Professional | $139.30 | $191.28 | $267.20 | |
Cigna
| Professional | $123.13 | $189.66 | $245.17 | |
Medica
| Facility | $114.74 | $161.80 | $243.76 | |
Medica
| Professional | $150.13 | $195.93 | $1,291.38 | |
United
| Professional | $127.61 | $179.60 | $252.13 |