| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.84 | $245.10 | $468.23 | |
Aetna
| Professional | $190.73 | $226.11 | $460.18 | |
Ambetter
| Professional | $214.99 | $243.04 | $290.95 | |
BCBS
| Professional | $291.73 | $291.73 | $297.37 | |
Cigna
| Professional | $200.47 | $305.99 | $663.80 | |
Medica
| Facility | $190.73 | $225.20 | $563.97 | |
Medica
| Professional | $237.80 | $327.66 | $2,520.00 | |
United
| Professional | $219.73 | $281.50 | $525.90 |