| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.81 | $90.81 | $133.85 | |
Aetna
| Professional | $87.44 | $90.81 | $102.50 | |
Ambetter
| Professional | $153.63 | $153.63 | $153.63 | |
BCBS
| Professional | $168.16 | $168.16 | $168.16 | |
Cigna
| Facility | $106.63 | $106.63 | $121.71 | |
Cigna
| Professional | $77.84 | $106.63 | $121.71 | |
Medica
| Facility | $54.96 | $116.95 | $889.53 | |
Medica
| Professional | $56.76 | $91.54 | $189.95 | |
United
| Professional | $56.76 | $86.60 | $122.14 |