| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $144.54 | |
Aetna
| Professional | $81.28 | $123.03 | $177.83 | |
Ambetter
| Professional | $79.43 | $97.72 | $125.89 | |
Cigna
| Professional | $95.50 | $134.90 | $213.80 | |
Medica
| Facility | $120.23 | $144.54 | $295.12 | |
Medica
| Professional | $100.00 | $128.82 | $707.95 | |
United
| Professional | $95.50 | $117.49 | $165.96 |