| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.08 | $236.49 | $258.99 | |
Ambetter
| Professional | $240.74 | $240.74 | $250.00 | |
Anthem BCBS
| Professional | $59.17 | $209.21 | $275.92 | |
Cigna
| Professional | $65.81 | $65.81 | $66.77 | |
Medica
| Facility | $217.38 | $252.11 | $484.16 | |
Medica
| Professional | $207.49 | $207.49 | $207.49 | |
United
| Professional | $207.49 | $207.49 | $207.49 |