| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.13 | $123.34 | $155.40 | |
Ambetter
| Professional | $135.71 | $135.71 | $160.49 | |
BCBS
| Facility | $50.73 | $192.66 | $305.19 | |
BCBS
| Professional | $59.07 | $60.58 | $136.29 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
Medica
| Facility | $84.13 | $120.31 | $210.28 | |
Medica
| Professional | $88.79 | $108.69 | $535.96 | |
United
| Professional | $88.79 | $107.85 | $142.69 |