| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.62 | $155.50 | $218.26 | |
Aetna
| Professional | $153.63 | $214.39 | $244.35 | |
Ambetter
| Professional | $175.31 | $217.36 | $255.00 | |
BCBS
| Professional | $189.35 | $260.00 | $362.37 | |
Cigna
| Professional | $162.61 | $258.31 | $344.13 | |
Medica
| Facility | $155.50 | $223.72 | $328.38 | |
Medica
| Professional | $198.35 | $270.57 | $1,741.13 | |
United
| Professional | $198.35 | $258.39 | $343.89 |