| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.24 | $186.62 | $214.48 | |
Ambetter
| Professional | $269.22 | $269.22 | $269.22 | |
Anthem BCBS
| Professional | $131.05 | $190.35 | $259.00 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Medica
| Facility | $173.99 | $260.19 | $457.79 | |
Medica
| Professional | $177.99 | $258.23 | $1,182.54 | |
United
| Professional | $168.10 | $244.54 | $409.45 |