| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $295.12 | $398.11 | |
Ambetter
| Professional | $371.54 | $371.54 | $371.54 | |
BCBS
| Professional | $229.09 | $275.42 | $524.81 | |
Cigna
| Professional | $275.42 | $389.05 | $645.65 | |
Medica
| Professional | $263.03 | $398.11 | $1,819.70 | |
United
| Professional | $257.04 | $323.59 | $575.44 |