| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.68 | $180.42 | $401.50 | |
Ambetter
| Professional | $63.51 | $259.11 | $527.40 | |
BCBS
| Facility | $63.27 | $248.90 | $413.96 | |
BCBS
| Professional | $71.90 | $82.17 | $102.71 | |
Medica
| Facility | $69.86 | $193.17 | $2,489.36 | |
Medica
| Professional | $280.83 | $333.95 | $1,779.80 | |
United
| Professional | $261.27 | $333.95 | $704.21 |