| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $125.89 | $181.97 | |
Ambetter
| Professional | $85.11 | $85.11 | $85.11 | |
Cigna
| Facility | $489.78 | $489.78 | $549.54 | |
Medica
| Facility | $109.65 | $147.91 | $177.83 | |
Medica
| Professional | $147.91 | $165.96 | $177.83 | |
United
| Facility | $138.04 | $138.04 | $138.04 | |
United
| Professional | $147.91 | $165.96 | $177.83 |