| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $83.18 | $125.89 | |
Ambetter
| Professional | $30.20 | $30.20 | $30.20 | |
Anthem BCBS
| Professional | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
Well Sense
| Facility | $2,511.89 | $3,388.44 | $4,168.69 |