| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.04 | $178.99 | $178.99 | |
Ambetter
| Professional | $63.51 | $110.32 | $120.00 | |
BCBS
| Facility | $193.95 | $260.47 | $377.30 | |
BCBS
| Professional | $213.83 | $213.83 | $213.83 | |
Medica
| Facility | $175.04 | $183.79 | $2,489.36 | |
Medica
| Professional | $174.54 | $374.61 | $1,779.80 | |
United
| Professional | $318.42 | $374.61 | $567.34 |