| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $302.00 | $354.81 | $407.38 | |
Ambetter
| Professional | $63.10 | $63.10 | $63.10 | |
Anthem BCBS
| Professional | $269.15 | $302.00 | $363.08 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
Medica
| Facility | $302.00 | $363.08 | $1,905.46 | |
Medica
| Professional | $295.12 | $380.19 | $1,047.13 | |
United
| Professional | $295.12 | $398.11 | $645.65 |