| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.52 | $26.93 | $321.91 | |
Aetna
| Professional | $125.52 | $130.34 | $147.11 | |
Ambetter
| Professional | $220.53 | $358.36 | $372.14 | |
BCBS
| Professional | $241.38 | $241.38 | $241.38 | |
Cigna
| Facility | $135.00 | $135.00 | $135.00 | |
Cigna
| Professional | $98.55 | $200.43 | $225.35 | |
Medica
| Facility | $78.89 | $167.85 | $1,281.52 | |
Medica
| Professional | $81.45 | $131.38 | $272.64 | |
United
| Professional | $81.45 | $122.20 | $175.31 |