| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.00 | $271.00 | $271.00 | |
Aetna
| Professional | $207.86 | $235.22 | $266.33 | |
Ambetter
| Professional | $175.44 | $229.35 | $266.50 | |
BCBS
| Professional | $217.66 | $264.30 | $310.94 | |
Cigna
| Professional | $65.81 | $65.81 | $324.76 | |
Medica
| Facility | $213.54 | $245.95 | $280.31 |