| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.14 | $96.14 | $96.14 | |
Aetna
| Professional | $92.58 | $96.14 | $112.90 | |
Ambetter
| Professional | $162.66 | $274.50 | $274.50 | |
BCBS
| Professional | $178.04 | $178.04 | $178.04 | |
Cigna
| Facility | $106.02 | $127.07 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $234.38 | |
Medica
| Facility | $97.21 | $132.06 | $939.42 | |
Medica
| Professional | $59.97 | $97.20 | $201.09 | |
United
| Professional | $59.97 | $95.48 | $141.12 |