| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.73 | $98.73 | $98.73 | |
Aetna
| Professional | $69.12 | $96.10 | $149.19 | |
Ambetter
| Professional | $100.00 | $100.00 | $125.04 | |
BCBS
| Professional | $82.50 | $82.50 | $82.50 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Medica
| Facility | $83.92 | $98.73 | $158.96 |