| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $130.08 | |
Aetna
| Professional | $129.94 | $130.08 | $130.79 | |
Ambetter
| Professional | $85.04 | $85.04 | $85.04 | |
BCBS
| Facility | $462.77 | $517.53 | $517.53 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Medica
| Facility | $130.08 | $201.62 | $247.15 |