| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.08 | $221.65 | $251.26 | |
Ambetter
| Professional | $69.27 | $75.56 | $277.07 | |
BCBS
| Professional | $78.92 | $78.92 | $78.92 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Medica
| Facility | $211.14 | $247.37 | $279.52 | |
Medica
| Professional | $207.49 | $207.49 | $207.49 | |
United
| Professional | $207.49 | $207.49 | $207.49 |