| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.84 | $74.84 | $110.32 | |
Aetna
| Professional | $72.08 | $74.84 | $84.46 | |
Ambetter
| Professional | $118.74 | $118.74 | $118.74 | |
BCBS
| Professional | $138.62 | $138.62 | $138.62 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $88.85 | $88.85 | |
Medica
| Facility | $45.29 | $96.39 | $734.34 | |
Medica
| Professional | $46.77 | $75.45 | $156.58 | |
United
| Professional | $46.77 | $70.16 | $100.65 |