| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $258.58 | $284.13 | $308.39 | |
Ambetter
| Professional | $271.79 | $271.79 | $271.79 | |
Anthem BCBS
| Professional | $59.17 | $252.91 | $333.56 | |
Cigna
| Professional | $22.70 | $22.70 | $43.66 | |
Medica
| Facility | $253.02 | $292.64 | $560.82 | |
Medica
| Professional | $258.47 | $258.47 | $258.47 | |
United
| Professional | $258.47 | $258.47 | $258.47 |