| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.33 | $286.33 | $286.33 | |
Aetna
| Professional | $263.57 | $283.58 | $290.23 | |
Ambetter
| Professional | $280.68 | $280.68 | $280.68 | |
BCBS
| Facility | $407.42 | $479.31 | $571.46 | |
Cigna
| Professional | $337.88 | $341.25 | $429.10 | |
Medica
| Facility | $259.39 | $287.64 | $503.37 |