| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.65 | $225.90 | $242.71 | |
Aetna
| Professional | $38.00 | $148.00 | $225.90 | |
Ambetter
| Professional | $35.00 | $35.00 | $35.00 | |
BCBS
| Professional | $297.44 | $297.44 | $297.44 | |
Cigna
| Facility | $135.00 | $135.00 | $135.00 | |
Cigna
| Professional | $98.55 | $135.00 | $397.50 | |
Medica
| Facility | $78.89 | $219.88 | $1,281.52 | |
Medica
| Professional | $81.45 | $136.10 | $348.55 | |
United
| Professional | $81.45 | $135.66 | $182.30 |