| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.14 | $94.14 | $94.14 | |
Aetna
| Professional | $76.42 | $79.68 | $123.34 | |
Ambetter
| Professional | $73.51 | $73.51 | $73.51 | |
BCBS
| Professional | $219.12 | $219.12 | $219.12 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
Medica
| Facility | $78.09 | $100.18 | $124.94 | |
Medica
| Professional | $73.54 | $96.93 | $535.96 | |
United
| Professional | $70.23 | $95.13 | $143.28 |