| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.17 | $67.34 | $93.77 | |
Aetna
| Professional | 25 | $69.52 | $81.42 | $245.60 |
Ambetter
| Professional | $69.59 | $82.12 | $90.47 | |
Ambetter
| Professional | 25 | $64.55 | $75.94 | $83.51 |
BCBS
| Professional | $75.25 | $83.16 | $114.04 | |
Cigna
| Professional | $61.91 | $93.15 | $124.76 | |
Medica
| Facility | $60.49 | $71.09 | $132.82 | |
Medica
| Professional | $73.93 | $102.50 | $525.69 | |
Medica
| Professional | 25 | $87.08 | $87.08 | $87.08 |
United
| Professional | $69.58 | $91.33 | $120.64 |