| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.70 | $142.86 | $332.25 | |
Aetna
| Professional | $54.96 | $103.14 | $157.43 | |
Ambetter
| Professional | $54.00 | $54.00 | $214.82 | |
BCBS
| Professional | $181.79 | $181.79 | $181.79 | |
Cigna
| Facility | $106.63 | $106.63 | $106.63 | |
Cigna
| Professional | $77.84 | $106.63 | $277.02 | |
Medica
| Facility | $54.96 | $153.21 | $889.53 | |
Medica
| Professional | $56.76 | $94.84 | $242.86 | |
United
| Professional | $56.76 | $91.88 | $127.02 |