| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.94 | $202.11 | $269.06 | |
Ambetter
| Professional | $293.58 | $293.58 | $293.58 | |
Anthem BCBS
| Professional | $135.88 | $198.09 | $268.58 | |
Cigna
| Professional | $183.31 | $183.31 | $183.31 | |
Medica
| Facility | $189.31 | $280.73 | $474.68 | |
Medica
| Professional | $184.77 | $272.57 | $1,287.73 | |
United
| Professional | $182.30 | $257.24 | $447.85 |