| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $134.90 | |
Aetna
| Professional | $125.89 | $125.89 | $134.90 | |
Ambetter
| Professional | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Medica
| Facility | $107.15 | $147.91 | $537.03 | |
Medica
| Professional | $141.25 | $154.88 | $177.83 | |
United
| Professional | $141.25 | $165.96 | $177.83 |