| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.00 | $338.00 | $338.00 | |
Aetna
| Professional | $260.37 | $276.79 | $308.39 | |
Ambetter
| Professional | $253.63 | $253.63 | $280.68 | |
BCBS
| Professional | $253.74 | $308.11 | $362.48 | |
Cigna
| Professional | $22.70 | $22.70 | $358.15 | |
Medica
| Facility | $239.54 | $287.60 | $321.82 |