| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.20 | $123.44 | $145.22 | |
Aetna
| Professional | $96.51 | $123.44 | $147.00 | |
Ambetter
| Professional | $124.63 | $124.63 | $124.63 | |
Cigna
| Professional | $95.01 | $134.78 | $214.13 | |
Medica
| Facility | $120.99 | $152.47 | $255.80 | |
Medica
| Professional | $99.48 | $124.67 | $699.89 | |
United
| Professional | $95.57 | $122.55 | $159.10 |