| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.01 | $158.68 | $188.38 | |
Aetna
| Professional | $128.22 | $151.80 | $186.68 | |
Ambetter
| Professional | $127.64 | $130.41 | $172.31 | |
Cigna
| Professional | $131.94 | $191.17 | $311.94 | |
Medica
| Facility | $163.05 | $200.61 | $354.65 | |
Medica
| Professional | $143.47 | $180.15 | $1,010.75 | |
United
| Professional | $138.30 | $176.73 | $239.77 |